Organization Active NPI

Prescott Valley Chiropractic LLC

Doing business as Prescott Valley Chiropractic

  • Chiropractor
  • Prescott Valley, AZ
National Provider Identifier
1366637746
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7245 Issued in AZ
Legal business name
PRESCOTT VALLEY CHIROPRACTIC LLC
Doing business as
Prescott Valley Chiropractic
Practice address
3088 N Robert Rd
Prescott Valley, AZ 86314-8429
Phone
(928) 775-0522
Fax
(928) 775-5922
NPI assigned
Sep 10, 2007
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Julie Ann Schifferli, D.C.NPI 1144326190
Title
Doctor
Phone
(928) 775-0522

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7245 AZ Primary

Addresses

Primary practice location

3088 N Robert Rd
Prescott Valley, AZ 86314-8429

Mailing address

3088 N Robert Rd
Prescott Valley, AZ 86314-8429
Phone (928) 775-0522

Other identifiers 1

IdentifierTypeStateIssuer
Z70964OtherAZPTAN

Other names 1

  • Prescott Valley Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000698 AZ Part B Supplier - Clinic/Group Practice 7911981295 Receives reassigned benefits from 3 practitioners
Practice locations: Prescott Valley, AZ

National Provider Directory

National Provider Directory

Locations

3050 N Windsong Dr
Ste 105
Prescott Valley, AZ 86314
Phone (928) 775-0522

3088 N Robert Rd
Prescott Vly, AZ 86314
Phone (928) 775-0522

Practitioners & affiliated clinicians

Practitioners 9

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1366637746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 N ROBERT RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148429",
            "telephone_number": "928-775-0522",
            "fax_number": "928-775-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 N ROBERT RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148429",
            "telephone_number": "928-775-0522",
            "fax_number": "928-775-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT VALLEY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "SCHIFFERLI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "928-775-0522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z70964",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Valley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 30, 2011; 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.