Individual provider Active NPI

Kaitlin Bowen, D.C.

  • Chiropractor
  • Glendale, AZ
National Provider Identifier
1528485208
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8365 Issued in AZ
Practice address
7200 W Bell Rd
Suite F-101
Glendale, AZ 85308-8529
Phone
(602) 795-8700
Fax
(602) 795-8701
NPI assigned
Mar 19, 2014
Last updated
Jan 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8365 AZ Primary

Addresses

Primary practice location

7200 W Bell Rd
Suite F-101
Glendale, AZ 85308-8529

Mailing address

20280 N 59TH Ave
Ste 115-617
Glendale, AZ 85308-6850
Phone (602) 795-8700

Other identifiers 1

IdentifierTypeStateIssuer
924062MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140502000346 AZ Practitioner - Chiropractic 6305079146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7200 W Bell Rd
Suite F101
Glendale, AZ 85308-8535
Phone (602) 795-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8365AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Spine and Pain Specialists LLC CurrentSince Jan 5, 2015 Accepting new patients
Hoffer Chiropractic P.C. Chiropractor CurrentSince Mar 17, 2014 Accepting new patients
Arizona Spine and Pain Specialists LLC CurrentSince Jan 5, 2015 Accepting new patients

Locations

1760 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 836-4868

725 S Dobson Rd
Ste 100
Chandler, AZ 85224
Phone (480) 814-0266

20280 N 59th Ave
Ste 115610
Glendale, AZ 85308

20280 N 59th Ave
Ste 115617
Glendale, AZ 85308

7200 W Bell Rd
Ste F101
Glendale, AZ 85308
Phone (623) 776-9111

13555 W McDowell Rd
Ste 201
Goodyear, AZ 85395
Phone (602) 246-9006

33747 N Scottsdale Rd
Ste 135
Scottsdale, AZ 85266
Phone (480) 248-6160

5425 E Bell Rd
Ste 150
Scottsdale, AZ 85254
Phone (602) 493-9800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1528485208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE",
            "address_2": "STE 115-617",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W BELL RD",
            "address_2": "SUITE F-101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088529",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "KAITLIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "924062",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.