Organization Active NPI

Buckeye Choice Chiropractic LLC

  • Chiropractor
  • Buckeye, AZ
National Provider Identifier
1316322977
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BUCKEYE CHOICE CHIROPRACTIC LLC
Practice address
1300 S Watson Rd
#A106
Buckeye, AZ 85326-6303
Phone
(623) 386-0444
Fax
(623) 386-9879
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Mr. Kendal Procunier
Title
General Manager
Phone
(602) 799-6543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X AZ Primary

Addresses

Primary practice location

1300 S Watson Rd
#A106
Buckeye, AZ 85326-6303

Mailing address

1300 S Watson Rd
#A106
Buckeye, AZ 85326-6303
Phone (623) 386-0444

Other names 1

  • Arizonas Choice CHiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1300 S Watson Rd
Ste A106
Buckeye, AZ 85326
Phone (623) 386-0444

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1316322977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S WATSON RD",
            "address_2": "#A106",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266303",
            "telephone_number": "623-386-0444",
            "fax_number": "623-386-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S WATSON RD",
            "address_2": "#A106",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266303",
            "telephone_number": "623-386-0444",
            "fax_number": "623-386-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE CHOICE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "PROCUNIER",
        "authorized_official_first_name": "KENDAL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "602-799-6543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizonas Choice CHiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.