Organization Active NPI

Disc and Spine Center L.L.C.

  • Chiropractor
  • Prescott Valley, AZ
National Provider Identifier
1366796146
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DISC AND SPINE CENTER L.L.C.
Practice address
7485 E 1St St
Ste
Prescott Valley, AZ 86314-2241
Phone
(928) 632-1430
Fax
(928) 632-1430
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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.NPI 1346272291
Title
Owner
Phone
(928) 632-1430

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X AZ Primary

Addresses

Primary practice location

7485 E 1St St
Ste
Prescott Valley, AZ 86314-2241

Mailing address

7485 E 1St St
Ste
Prescott Valley, AZ 86314-2241
Phone (928) 632-1430

Other names 1

  • Prescott Valley Disc and Spine Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130104000398 AZ Part B Supplier - Clinic/Group Practice 9638322308 Receives reassigned benefits from 1 practitioner
Practice locations: Prescott Valley, AZ

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

7485 E 1st St
Prescott Valley, AZ 86314
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": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1366796146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 E 1ST ST",
            "address_2": "STE",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142241",
            "telephone_number": "928-632-1430",
            "fax_number": "928-632-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7485 E 1ST ST",
            "address_2": "STE",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142241",
            "telephone_number": "928-632-1430",
            "fax_number": "928-632-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISC AND SPINE CENTER L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-12-20",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Valley Disc and Spine Center",
            "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 Dec 20, 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.