Individual provider Active NPI

Harley Finkle, DC

  • Chiropractor
  • Lake Havasu City, AZ
National Provider Identifier
1376560011
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5295 Issued in AZ
Practice address
1674 McCulloch Blvd N
Lake Havasu City, AZ 86403-0962
Phone
(928) 680-1123
Fax
(928) 680-3203
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC15200 CA
Chiropractor 111N00000X B01311 NV
Independent Medical Examiner Chiropractor 111NI0013X DC 15200 CA
Chiropractor 111N00000X 5295 AZ Primary

Addresses

Primary practice location

1674 McCulloch Blvd N
Lake Havasu City, AZ 86403-0962

Mailing address

PO Box 3358
Lake Havasu City, AZ 86405-3358
Phone (928) 680-1123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000231 AZ Practitioner - Chiropractic 9931230620 Practice locations: Lake Havasu City, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1674 McCulloch Blvd N
Lake Havasu City, AZ 86403-0962
Phone (928) 680-3203

1674 McCulloch N Blvd
Lake Havasu City, AZ 86403-0962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC15200CAMDChiropractor
B01311NVMDChiropractor
DC 15200CAMDIndependent Medical Examiner Chiropractor
15200CAMDOccupational Therapist
5295AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Havasu Chiropractic Chiropractor PastSince Apr 13, 2010 Accepting new patients
Jeffrey Ross Gunter MD Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1376560011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3358",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864053358",
            "telephone_number": "928-680-1123",
            "fax_number": "928-680-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 MCCULLOCH BLVD N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864030962",
            "telephone_number": "928-680-1123",
            "fax_number": "928-680-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKLE",
        "first_name": "HARLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15200",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01311",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC 15200",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.