Organization Active NPI

Pusch Ridge Chiropractic

  • Chiropractor
  • Oro Valley, AZ
National Provider Identifier
1639686702
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7165 Issued in AZ
Legal business name
PUSCH RIDGE CHIROPRACTIC
Practice address
12152 N Rancho Vistoso Blvd Ste 110
Oro Valley, AZ 85755-1843
Phone
(520) 877-9100
NPI assigned
Jan 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Dr. Lorin M WelchNPI 1093866204
Title
Owner
Phone
(520) 877-9100

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7165 AZ Primary

Addresses

Primary practice location

12152 N Rancho Vistoso Blvd Ste 110
Oro Valley, AZ 85755-1843

Mailing address

12152 N Rancho Vistoso Blvd Ste 110
Oro Valley, AZ 85755-1843

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180202001858 AZ Part B Supplier - Clinic/Group Practice 0244590644 Receives reassigned benefits from 1 practitioner
Practice locations: Oro Valley, AZ

National Provider Directory

National Provider Directory

Locations

12152 N Rancho Vistoso Blvd
Ste 110
Oro Valley, AZ 85755
Phone (520) 877-9100

Practitioners & affiliated clinicians

Practitioners 1

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": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1639686702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12152 N RANCHO VISTOSO BLVD STE 110",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12152 N RANCHO VISTOSO BLVD STE 110",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551843",
            "telephone_number": "520-877-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSCH RIDGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "LORIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-877-9100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.