Organization Active NPI

Nelson Chiropractic, Inc.

  • Chiropractor
  • Cottonwood, AZ
National Provider Identifier
1578824678
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5583 Issued in AZ
Legal business name
NELSON CHIROPRACTIC, INC.
Practice address
4234 E Western Dr
Cottonwood, AZ 86326-5828
Phone
(928) 646-7228
Fax
(928) 634-7288
NPI assigned
Jun 5, 2012
Last updated
Jun 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Dr. Jon Daniel Nelson, D.C.
Title
President
Phone
(928) 646-7228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5583 AZ Primary

Addresses

Primary practice location

4234 E Western Dr
Cottonwood, AZ 86326-5828

Mailing address

4234 E Western Dr
Cottonwood, AZ 86326-5828
Phone (928) 646-7228

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1578824678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 E WESTERN DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265828",
            "telephone_number": "928-646-7228",
            "fax_number": "928-634-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 E WESTERN DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265828",
            "telephone_number": "928-646-7228",
            "fax_number": "928-634-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-646-7228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.