Buckhorn Residential

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

BUCKHORN RESIDENTIAL

Practice address

1945 W Van Buren St Ste 1
Phoenix, AZ 85009-3805

Phone

(480) 293-4327

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Michael Johnson

Title

Ceo

Phone

(480) 293-4327

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1497534895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 W VAN BUREN ST STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850093805",
            "telephone_number": "480-293-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 W VAN BUREN ST STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850093805",
            "telephone_number": "480-293-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHORN RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-293-4327"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Buck, M.A., CCC-SLP
• Johnny Jason Buck, LPC
• Rachel Groetsch Buck, DO
• Ryan James Buck
• Sean Donovan Buck, MD
• Buckhorn Treatment Center at South Mountain
• Bradley C Buckhout, MD
• Sarah Buckingham
• Steven James Buckle, M.D.
• Buckler Chiropractic Group LLC

• All providers in Phoenix, AZ
• Lodging Provider in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.