Active NPI
Zhijia Jack Qiu, D.C.
- Chiropractor
- Bullhead City, AZ
National Provider Identifier
1306171954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8188
- Practice address
- 2440 Highway 95, Suite a
Bullhead City, AZ 86442 - Phone
- (928) 704-2225
- Fax
- (928) 704-0402
- NPI assigned
- Oct 14, 2009
- Last updated
- Jan 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011396 | IL | |
| Chiropractor | 111N00000X | 8188 | AZ | Primary |
Addresses
Primary practice location
2440 Highway 95, Suite a
Bullhead City, AZ 86442
Mailing address
2440 Highway 95, Suite a
Bullhead City, AZ 86442
Phone (928) 704-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038011396 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis Enterprises LLC | Chiropractor | Current | Accepting new patients |
| Mark E. Lee,D.C.,P.C. | Chiropractor | Past | Accepting new patients |
| Kukurin Chiropractic | Past | Accepting new patients |
Locations
2440 Highway 95
Ste A
Bullhead City, AZ 86442
Phone (928) 704-2225
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Chiropractor
- Avondale, AZ
- NPI 1568515583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1306171954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 HIGHWAY 95, SUITE A",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "86442",
"telephone_number": "928-704-2225",
"fax_number": "928-704-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 HIGHWAY 95, SUITE A",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "86442",
"telephone_number": "928-704-2225",
"fax_number": "928-704-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIU",
"first_name": "ZHIJIA",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-14",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011396",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.