Mohave Chiropractic Care LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7139 Issued in AZ

Legal business name

MOHAVE CHIROPRACTIC CARE LLC

Practice address

1708 El Cazador
Bullhead City, AZ 86442-7955

Phone

(928) 763-9225

Fax

(928) 763-9224

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Alana M Jackson, DC

Title

Sole Member

Phone

(928) 763-9225

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1376601039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22698",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864392698",
            "telephone_number": "928-763-9225",
            "fax_number": "928-763-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 EL CAZADOR",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427955",
            "telephone_number": "928-763-9225",
            "fax_number": "928-763-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAVE CHIROPRACTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "928-763-9225",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P0155410",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "786080",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00100146",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mishaun PLLC
• Courtney Ann Mitchell, FNP-C
• Kathleen Anne Mlekush, RDMS, RVT
• MMG LLC
• Mohave Arthritis Associates, Inc
• Mohave Eye Center, LTD
• Mohave Gastroenterology, PC
• Mohave Health Care
• Mohave Healthcare, Inc.
• Mohave Intensivist Group, P.C

• Chiropractor in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.