Kingswood Parke Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5489 Issued in AZ

Legal business name

KINGSWOOD PARKE FAMILY CHIROPRACTIC INC

Practice address

15508 W Bell Rd Ste 105
Surprise, AZ 85374-2432

Phone

(623) 556-4772

Fax

(623) 556-2316

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Wesley Enouen, D.C.NPI 1093832024

Title

Chiropractor

Phone

(623) 556-4772

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Charles W. Enouen, D.C.

  • Chiropractor
  • Surprise, AZ
  • NPI 1093832024
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1336368158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 W BELL RD STE 105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742432",
            "telephone_number": "623-556-4772",
            "fax_number": "623-556-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15508 W BELL RD STE 105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742432",
            "telephone_number": "623-556-4772",
            "fax_number": "623-556-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWOOD PARKE FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "ENOUEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "623-556-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0241860",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Heather King
• Jordan King
• Nikki Kirby
• Daisean Jordan Kirk
• Sidney Ray Kirkeby
• Wyatt Richard Kissling, DC
• KJ Nutrition

• Chiropractor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.