DTK Holding Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

ZDC5648 Issued in AZ

Legal business name

DTK HOLDING CORP

Doing business as

Family Chiropractic Center

Practice address

5505 W Chandler Blvd
#3
Chandler, AZ 85226-3683

Phone

(480) 756-2600

Fax

(480) 704-2448

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Trevor S Berry, D.O.

Title

Owner/Doctor

Phone

(480) 756-2600

Specialties & licenses 2

Addresses

Other names 1

• FAMILY CHIROPRACTIC CENTER Doing business as

Locations

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1366703175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 W CHANDLER BLVD",
            "address_2": "#3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263683",
            "telephone_number": "480-756-2600",
            "fax_number": "480-704-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W CHANDLER BLVD",
            "address_2": "#3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263683",
            "telephone_number": "480-756-2600",
            "fax_number": "480-704-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTK HOLDING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "480-756-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "ZDC5648",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "AZ",
            "license": "ZDC5648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.