Organization Active NPI

Summit Chiropractic & Rehabilitation Inc

  • Chiropractor
  • Flagstaff, AZ
National Provider Identifier
1326395757
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7734 Issued in AZ
Legal business name
SUMMIT CHIROPRACTIC & REHABILITATION INC
Practice address
519 N Leroux St
Flagstaff, AZ 86001-3221
Phone
(928) 774-7315
NPI assigned
Aug 3, 2012
Last updated
May 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Dr. Nathan Belcher, D.C.NPI 1851335202
Title
President
Phone
(928) 699-0512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7734 AZ Primary

Addresses

Primary practice location

519 N Leroux St
Flagstaff, AZ 86001-3221

Mailing address

519 N Leroux St
Flagstaff, AZ 86001-3221
Phone (928) 774-7315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130610000629 AZ Part B Supplier - Clinic/Group Practice 9436398179 Receives reassigned benefits from 2 practitioners
Practice locations: Flagstaff, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1326395757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N LEROUX ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013221",
            "telephone_number": "928-774-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N LEROUX ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013221",
            "telephone_number": "928-774-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC & REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-699-0512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.