Desert Oasis Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7519 Issued in AZ

Legal business name

DESERT OASIS WELLNESS, LLC

Doing business as

Desert Oasis Chiropractic and Wellness

Practice address

139 W Cottonwood LN
Suite 107
Casa Grande, AZ 85122-2513

Phone

(520) 423-2601

Fax

(520) 876-4599

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Kimberly Randolph Jes, D.C.NPI 1407884414

Title

Chiropractor

Phone

(520) 423-2601

Specialties & licenses 1

Addresses

Other names 1

• Desert Oasis Chiropractic and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Randolph Jes, D.C.

  • Chiropractor
  • Casa Grande, AZ
  • NPI 1407884414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1396922043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W COTTONWOOD LN",
            "address_2": "SUITE 107",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222513",
            "telephone_number": "520-423-2601",
            "fax_number": "520-876-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W COTTONWOOD LN",
            "address_2": "SUITE 107",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222513",
            "telephone_number": "520-423-2601",
            "fax_number": "520-876-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT OASIS WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "JES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "520-423-2601",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Oasis Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Dereu, RPH
• Nataraj Desai, MD
• Desert Care Family Clinic PLLC (Desert Care Family & Sports Medicine)
• Desert Harmony Hospice, LLC
• Desert Medical Providers Inc
• Desert Rose Oncology,LLC
• Desert Senita Community Health Center
• Desert Sky Dental
• Desert Sky Dental PC (Desert Sky Dental)
• Laura Detour, SLPA

• Chiropractor in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.