CJK Health Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CJK HEALTH CENTER LLC

Practice address

12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505

Phone

(623) 935-9920

Fax

(602) 889-5834

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Christopher John Kelsch, DC

Title

Owner

Phone

(623) 935-9920

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1477801173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64642",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850824642",
            "telephone_number": "602-889-5833",
            "fax_number": "602-889-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 W INDIAN SCHOOL RD STE B210",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929505",
            "telephone_number": "623-935-9920",
            "fax_number": "602-889-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJK HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "KELSCH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-935-9920",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameeta Chowdhary, FNP
• Chris Jaron OD PC
• Kevin Chu, DPT
• Rebekah Churchill
• Cigna Health Care of Arizona, Inc.
• CK Healthcare LLC
• Clare Eagle Nursing Services LLC
• Ryan Clark
• Charles C. Clausen, D.D.S.
• Clearsky Rehabilitation Hospital of West Valley, LLC

• Family Nurse Practitioner in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.