Organization Active NPI

Prescott Valley Disc and Spine Center

  • Chiropractor
  • Prescott Valley, AZ
National Provider Identifier
1366625980
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7654 Issued in AZ
Legal business name
PRESCOTT VALLEY DISC AND SPINE CENTER
Practice address
7485 E 1St St
Suite G
Prescott Valley, AZ 86314-2241
Phone
(928) 632-1430
Fax
(928) 632-1434
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Dr. Veronica Lynne Hudson, D.C.
Title
Owner
Phone
(928) 632-1430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7654 AZ Primary

Addresses

Primary practice location

7485 E 1St St
Suite G
Prescott Valley, AZ 86314-2241

Mailing address

7485 E. 1St St
Suite G
Prescott Valley, AZ 86314
Phone (928) 632-1430

National Provider Directory

National Provider Directory
Tax ID family
Dewey Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 S Highway 69
Ste 7
Dewey, AZ 86327
Phone (928) 632-1430

Practitioners & affiliated clinicians

Practitioners 1

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": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1366625980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 E. 1ST ST",
            "address_2": "SUITE G",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-632-1430",
            "fax_number": "928-632-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7485 E 1ST ST",
            "address_2": "SUITE G",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142241",
            "telephone_number": "928-632-1430",
            "fax_number": "928-632-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT VALLEY DISC AND SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-632-1430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.