Humphreys Street Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0762 Issued in AZ

Legal business name

HUMPHREYS STREET CHIROPRACTIC

Practice address

421 N Humphreys St
Flagstaff, AZ 86001-4531

Phone

(928) 774-6601

Fax

(928) 774-2193

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel W Dahl, D.C.

Title

Owner Primary Healthcare Provider

Phone

(928) 774-6601

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1447464698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N HUMPHREYS ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014531",
            "telephone_number": "928-774-6601",
            "fax_number": "928-774-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N HUMPHREYS ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014531",
            "telephone_number": "928-774-6601",
            "fax_number": "928-774-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMPHREYS STREET CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PRIMARY HEALTHCARE PROVIDER",
        "authorized_official_telephone_number": "928-774-6601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "0762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0244550",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Huey
• Heidi L Huggard, M.S., CCC-SLP
• Casey Oralia Hughes, RN
• Kate Huhta
• Andrew Richard Hukow, SLPA
• Kenneth Gray Hunt, ED. S, NBCC
• Rachel Hunt, RD
• Whitney Marie Hurd
• Dustin Richard Husemann, ACNP-BC, PMHNP-BC
• Keith B Hutchinson, MD

• Chiropractor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.