Active NPI
John P Dugan, D.C.
- Chiropractor
- Prescott Valley, AZ
National Provider Identifier
1518986892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1016
- Practice address
- 8000 East Hwy 69, #B
Prescott Valley, AZ 86314 - Phone
- (928) 775-5143
- Fax
- (928) 775-0844
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1016 | AZ | Primary |
Addresses
Primary practice location
8000 East Hwy 69, #B
Prescott Valley, AZ 86314
Mailing address
PO Box 27647
Prescott Valley, AZ 86312-7647
Phone (928) 775-5143
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28130103 | Other | AZ | WORKERS COMP |
| 539794 | Medicaid | AZ | |
| AZ0082690 | Other | AZ | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1518986892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27647",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863127647",
"telephone_number": "928-775-5143",
"fax_number": "928-775-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 EAST HWY 69, #B",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "86314",
"telephone_number": "928-775-5143",
"fax_number": "928-775-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "1016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "28130103",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "539794",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0082690",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.