Organization Active NPI

Stetson Chiropractic Clinic, LTD

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1578853727
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4279 Issued in AZ
Legal business name
STETSON CHIROPRACTIC CLINIC, LTD
Practice address
8300 N. Hayden Rd.
#A-109
Scottsdale, AZ 85258
Phone
(480) 948-4955
Fax
(480) 948-4669
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Kenneth F Muhich, D.C.
Title
President
Phone
(480) 948-4955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4279 AZ Primary

Addresses

Primary practice location

8300 N. Hayden Rd.
#A-109
Scottsdale, AZ 85258

Mailing address

8300 N. Hayden Rd.
#A-109
Scottsdale, AZ 85258
Phone (480) 948-4955

Other identifiers 1

IdentifierTypeStateIssuer
0941930OtherAZBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

8300 N Hayden Rd
Ste A115
Scottsdale, AZ 85258
Phone (480) 948-4955

8300 N Hayden Rd
Ste A109
Scottsdale, AZ 85258
Phone (480) 600-3453

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": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1578853727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N. HAYDEN RD.",
            "address_2": "#A-109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-948-4955",
            "fax_number": "480-948-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 N. HAYDEN RD.",
            "address_2": "#A-109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-948-4955",
            "fax_number": "480-948-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STETSON CHIROPRACTIC CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "MUHICH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-948-4955",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0941930",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.