NPIMap

Organization Active NPI

Daniel J Kinkead PC

Doing business as Kinkead Chiropractic

  • Rehabilitation Chiropractor
  • Mesa, AZ
National Provider Identifier
1295983971
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
AZ4294 Issued in AZ
Legal business name
DANIEL J KINKEAD PC
Doing business as
Kinkead Chiropractic
Practice address
3614 E Southern Ave
Suite a-105
Mesa, AZ 85206-2509
Phone
(480) 838-6696
Fax
(480) 838-9392
NPI assigned
Sep 5, 2008
Last updated
May 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Authorized official

Name
Daniel J. Kinkead, P.C.NPI 1033291604
Title
Owner
Phone
(480) 838-6696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X AZ4294 AZ Primary

Addresses

Primary practice location

3614 E Southern Ave
Suite a-105
Mesa, AZ 85206-2509

Mailing address

3614 E Southern Ave
Suite a-105
Mesa, AZ 85206-2509
Phone (480) 838-6696

Other names 1

  • KINKEAD CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1295983971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 E SOUTHERN AVE",
            "address_2": "SUITE A-105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062509",
            "telephone_number": "480-838-6696",
            "fax_number": "480-838-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 E SOUTHERN AVE",
            "address_2": "SUITE A-105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062509",
            "telephone_number": "480-838-6696",
            "fax_number": "480-838-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J KINKEAD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "KINKEAD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-838-6696",
        "authorized_official_credential": "P.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "AZ4294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINKEAD CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.