Daniel J Kinkead PC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

AZ4294 Issued in AZ

Legal business name

DANIEL J KINKEAD PC

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

Organization subpart

No

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

Authorized official

Name

Daniel J. Kinkead, P.C.

Title

Owner

Phone

(480) 838-6696

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• KINKEAD CHIROPRACTIC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Clabaugh Davidson, M.D.

  • Ophthalmology Physician
  • Chandler, AZ
  • NPI 1003809641

  Single Specialty

  NPD

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "0004266286",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "AZ0932910",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "215276",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINKEAD CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence John Damore II, M.D.
• Kristin Nicole Damron
• Yakaiyastai K Dan
• Dana Landing Urgent Care LLC
• Peter Hamblin Dangerfield, LCSW
• Amelia E Daniels, MT-BC
• Leslie L Daniels, BSN, RN, NCSN
• Robin Daniels, CNM
• Shannon Brooke Daniels, NP
• Elizabeth Danielson, PH.D.

• Rehabilitation Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Rehabilitation Chiropractor in Arizona

• 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.