Groundhog Enterprise LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7910 Issued in AZ

Legal business name

GROUNDHOG ENTERPRISE LLC

Practice address

4646 E Greenway Rd
Suite 104
Phoenix, AZ 85032-4805

Phone

(602) 867-1444

Fax

(602) 867-7255

NPI assigned

Mar 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kendra A Wellman, DC

Title

Owner/Doctor

Phone

(602) 867-1444

Specialties & licenses 1

Addresses

Other names 1

• Pinnacle Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1306160619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD",
            "address_2": "SUITE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "602-867-1444",
            "fax_number": "602-867-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD",
            "address_2": "SUITE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "602-867-1444",
            "fax_number": "602-867-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDHOG ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "WELLMAN",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "602-867-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Edward Grosso, D.C.
• Jennifer Grosstick, AUD
• Dave Gerald Grosz, CRNA
• Nicholas Groth, MD
• Susan F Groth
• Group Non Emergency Medical Tranesport
• Jerome Julian Grove, MD
• Diane Lee Grover, RN
• Lindsay Grover, PA-C
• Michelle Kaye Grover, ATC

• 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 Mar 16, 2010; 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.