Organization Active NPI

Kukurin Chiropractic

  • Neurology Chiropractor
  • Avondale, AZ
National Provider Identifier
1568515583
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
7366 Issued in AZ
Legal business name
KUKURIN CHIROPRACTIC
Practice address
12409 W Indian School Rd
C304
Avondale, AZ 85323-9502
Phone
(623) 547-4727
NPI assigned
Jan 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Dr. George William Kukurin, DCNPI 1679503981
Title
Clinic Director
Phone
(623) 547-4727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X 7366 AZ Primary

Addresses

Primary practice location

12409 W Indian School Rd
C304
Avondale, AZ 85323-9502

Mailing address

14327 W Monte Vista Rd
Goodyear, AZ 85338-2327
Phone (623) 547-4727

National Provider Directory

National Provider Directory

Locations

12409 W Indian School Rd
Ste C304
Avondale, AZ 85392
Phone (623) 547-4727

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1568515583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14327 W MONTE VISTA RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382327",
            "telephone_number": "623-547-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 W INDIAN SCHOOL RD",
            "address_2": "C304",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853239502",
            "telephone_number": "623-547-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUKURIN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "KUKURIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "623-547-4727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "AZ",
            "license": "7366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.