NPIMap

Organization Active NPI

Darre Holdings LTD

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1376728675
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7436 Issued in AZ
Legal business name
DARRE HOLDINGS LTD
Practice address
15027 W Bell Rd
Suite 100
Surprise, AZ 85374-3216
Phone
(623) 215-4107
Fax
(623) 215-7453
NPI assigned
Jan 4, 2008
Organization subpart
Yes
Parent organization
DARRE HOLDINGS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Dr. Michelle R Coats, DCNPI 1518038777
Title
Chiropractor
Phone
(623) 215-4107

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7436 AZ Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 0468 AZ
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 07-992 AZ

Addresses

Primary practice location

15027 W Bell Rd
Suite 100
Surprise, AZ 85374-3216

Mailing address

15027 W Bell Rd
Suite 100
Surprise, AZ 85374-3216
Phone (623) 215-4107

Other names 1

  • DC Canyon Health and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050924000276 AZ Part B Supplier - Clinic/Group Practice 9638103005 Receives reassigned benefits from 1 practitioner
Practice locations: Surprise, AZ

National Provider Directory

National Provider Directory
Part of
Darre Holdings LTD

Locations

15027 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 215-4107

Practitioners & affiliated clinicians

Practitioners 3

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": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1376728675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15027 W BELL RD",
            "address_2": "SUITE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743216",
            "telephone_number": "623-215-4107",
            "fax_number": "623-215-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15027 W BELL RD",
            "address_2": "SUITE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743216",
            "telephone_number": "623-215-4107",
            "fax_number": "623-215-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRE HOLDINGS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DARRE HOLDINGS LTD",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "COATS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "623-215-4107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7436",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0468",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "07-992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DC Canyon Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.