Darrell R Kilcup, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4935 Issued in AZ

Practice address

7016 N 27TH Ave
Phoenix, AZ 85051-8402

Phone

(602) 864-0304

Fax

(602) 864-0990

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kilcup Chiropractic PC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1649423138
  Medicare reassignment NPD Authorized official
• Craig P Rinaldi DC PC

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1841468642
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1285633826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518402",
            "telephone_number": "602-864-0304",
            "fax_number": "602-864-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518402",
            "telephone_number": "602-864-0304",
            "fax_number": "602-864-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCUP",
        "first_name": "DARRELL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "AZ0930450",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Kiesner, DO
• Kristine Lea Kilber
• Carli Kilbourne, LAC
• Kaja Marie Kilburn, PT, DPT, SCS, ATC
• Kilcup Chiropractic PC
• Kimberly Diane Kilde, RD
• Arthur Kilduff
• Tina Marie Kile
• Todd A Kile, M.D.
• Noel Gabriel Kilgarriff, PSY.D.

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.