Individual provider Active NPI

Kirk Duxbury, DC

  • Chiropractor
  • San Tan Valley, AZ
National Provider Identifier
1396380960
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8745 Issued in AZ
Practice address
85 W Combs Rd Ste 109
San Tan Valley, AZ 85140-9107
Phone
(480) 882-9105
Fax
(480) 458-5833
NPI assigned
Nov 7, 2019
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8745 AZ Primary

Addresses

Primary practice location

85 W Combs Rd Ste 109
San Tan Valley, AZ 85140-9107

Mailing address

85 W Combs Rd Ste 109
San Tan Valley, AZ 85140-9107
Phone (480) 822-9105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200831002205 AZ Practitioner - Chiropractic 9931526324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Chiropractic PLLCGroup PAC ID 5890013940, 3 clinicians

Practice addresses (Care Compare)

85 W Combs Rd
Suite 109
San Tan Valley, AZ 85140-9107
Phone (480) 882-9105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Chiropractic PLLC Chiropractor CurrentSince May 27, 2020 Accepting new patients

Locations

85 W Combs Rd
Ste 109
San Tan Vly, AZ 85140
Phone (480) 882-9105

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1396380960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W COMBS RD STE 109",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409107",
            "telephone_number": "480-822-9105",
            "fax_number": "480-458-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W COMBS RD STE 109",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409107",
            "telephone_number": "480-882-9105",
            "fax_number": "480-458-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUXBURY",
        "first_name": "KIRK",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.