Organization Active NPI

Family Chiropractic LLC

  • Chiropractor
  • Safford, AZ
National Provider Identifier
1417112798
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4866 Issued in AZ
Legal business name
FAMILY CHIROPRACTIC LLC
Practice address
1431 W Thatcher Blvd
Safford, AZ 85546-3306
Phone
(928) 428-0581
Fax
(928) 428-0581
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Gary V Scott, D.C.NPI 1396885638
Title
Sole Member
Phone
(928) 428-0581

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4866 AZ Primary

Addresses

Primary practice location

1431 W Thatcher Blvd
Safford, AZ 85546-3306

Mailing address

1431 W Thatcher Blvd
Safford, AZ 85546-3306
Phone (928) 428-0581

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000700 AZ Part B Supplier - Clinic/Group Practice 2961570593 Receives reassigned benefits from 1 practitioner
Practice locations: Safford, AZ

National Provider Directory

National Provider Directory

Locations

520 S 11th Ave
Safford, AZ 85546
Phone (928) 428-0581

1431 W Thatcher Blvd
Safford, AZ 85546
Phone (602) 428-0581

Practitioners & affiliated clinicians

Practitioners 1

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": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1417112798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 W THATCHER BLVD",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463306",
            "telephone_number": "928-428-0581",
            "fax_number": "928-428-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 W THATCHER BLVD",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463306",
            "telephone_number": "928-428-0581",
            "fax_number": "928-428-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "928-428-0581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.