Organization Active NPI

KC Medical Management

  • Contractor
  • Goodyear, AZ
National Provider Identifier
1396605432
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
KC MEDICAL MANAGEMENT
Practice address
18464 W Superior Ave
Goodyear, AZ 85338-7605
Phone
(805) 419-4234
Fax
(805) 383-6646
NPI assigned
Nov 12, 2025
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Karey Collins
Title
Ceo
Phone
(805) 419-4234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NU Primary

Addresses

Primary practice location

18464 W Superior Ave
Goodyear, AZ 85338-7605

Mailing address

18464 W Superior Ave
Goodyear, AZ 85338-7605
Phone (805) 419-4234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1396605432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18464 W SUPERIOR AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387605",
            "telephone_number": "805-419-4234",
            "fax_number": "805-383-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18464 W SUPERIOR AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387605",
            "telephone_number": "805-419-4234",
            "fax_number": "805-383-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "KAREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-419-4234"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.