Organization Active NPI

Division Street Chiropractic, PLLC

  • Chiropractor
  • Prescott, AZ
National Provider Identifier
1457748113
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5343 Issued in AZ
Legal business name
DIVISION STREET CHIROPRACTIC, PLLC
Practice address
999 Division St
Prescott, AZ 86301-1654
Phone
(928) 777-9600
Fax
(928) 777-9797
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Ms. Patricia Ellen Dickison
Title
Billing Manager
Phone
(928) 777-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC5343 AZ Primary

Addresses

Primary practice location

999 Division St
Prescott, AZ 86301-1654

Mailing address

999 Division St
Prescott, AZ 86301-1654
Phone (928) 777-9600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1457748113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 DIVISION ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011654",
            "telephone_number": "928-777-9600",
            "fax_number": "928-777-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 DIVISION ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011654",
            "telephone_number": "928-777-9600",
            "fax_number": "928-777-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVISION STREET CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "DICKISON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "928-777-9600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC5343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.