Organization Active NPI

Buckeye Family Chiropractic

  • Chiropractor
  • Buckeye, AZ
National Provider Identifier
1326512807
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BUCKEYE FAMILY CHIROPRACTIC
Practice address
1300 S Watson Rd # a-106
Buckeye, AZ 85326-6303
Phone
(623) 386-0444
Fax
(623) 386-9879
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Dr. Douglas M. Lynch, DCNPI 1376733303
Title
Chiropractor
Phone
(623) 386-0444

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1300 S Watson Rd # a-106
Buckeye, AZ 85326-6303

Mailing address

1300 S Watson Rd # a-106
Buckeye, AZ 85326-6303
Phone (623) 386-0444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190604002367 AZ Part B Supplier - Clinic/Group Practice 2860725942 Receives reassigned benefits from 1 practitioner
Practice locations: Buckeye, AZ

National Provider Directory

National Provider Directory

Locations

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

1300 S Watson Rd
Ste 106
Buckeye, AZ 85326
Phone (623) 386-0444

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1326512807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S WATSON RD # A-106",
            "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 # A-106",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266303",
            "telephone_number": "623-386-0444",
            "fax_number": "623-386-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "623-386-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 17, 2019; 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.