Koepke Clinic for Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7429 Issued in AZ

Legal business name

KOEPKE CLINIC FOR CHIROPRACTIC PC

Practice address

16042 N 32ND St Ste C4D
Phoenix, AZ 85032-3806

Phone

(480) 628-3631

NPI assigned

Apr 3, 2008

Organization subpart

No

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

Authorized official

Name

Becky Lee Koepke, DCNPI 1831107770

Title

Owner

Phone

(480) 628-3631

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

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

• Becky Lee Koepke, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1831107770
  Medicare reassignment NPD Authorized official
• Thomas E Blankenbaker, D.C.

  • Rehabilitation Chiropractor
  • Phoenix, AZ
  • NPI 1609916808
  NPD (past)
• Peggy Meents Delay, LAC

  • Acupuncturist
  • Phoenix, AZ
  • NPI 1235301565
  NPD (past)
• Shawn Wherry, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1144330036
  NPD (past)

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1356514913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 EAST ALAMEDA DRIVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-628-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16042 N 32ND ST STE C4D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323806",
            "telephone_number": "480-628-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOEPKE CLINIC FOR CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "KOEPKE",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-628-3631",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Koelling, DC
• Madeline Koelzer
• Jaime Koenig
• Karen Koenig
• Lawrence James Koep, M.D.
• Becky Lee Koepke, D.C.
• Rebecca Koepke
• Stefan Wolfgang Koester
• Charlotte Miriam Koestner, LCSW
• May Elizabeth Koestner, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.