Organization Active NPI

Kinnison Chiropractic Inc

  • Chiropractor
  • Flagstaff, AZ
National Provider Identifier
1619057767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6024 Issued in AZ
Legal business name
KINNISON CHIROPRACTIC INC
Practice address
2001 N 4TH St
Flagstaff, AZ 86004-4227
Phone
(928) 526-5797
Fax
(928) 222-1775
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Geoffrey P Kinnison, D.C.
Title
President-Owner
Phone
(928) 526-5797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6024 AZ Primary

Addresses

Primary practice location

2001 N 4TH St
Flagstaff, AZ 86004-4227

Mailing address

2001 N 4TH St
Flagstaff, AZ 86004-4227
Phone (928) 526-5797

National Provider Directory

National Provider Directory

Locations

2606 N Patterson Blvd
Flagstaff, AZ 86004
Phone (928) 779-5515

2501 N 4th St
Ste 7A
Flagstaff, AZ 86004
Phone (520) 491-9298

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619057767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044227",
            "telephone_number": "928-526-5797",
            "fax_number": "928-222-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044227",
            "telephone_number": "928-526-5797",
            "fax_number": "928-222-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNISON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINNISON",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "928-526-5797",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.