Individual provider Active NPI

Kurt G. Von Rice, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1649337544
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4649 Issued in AZ
Practice address
16620 N 40TH St
Suite I-4
Phoenix, AZ 85032-3348
Phone
(602) 493-8700
Fax
(602) 788-9169
NPI assigned
Jan 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4649 AZ Primary

Addresses

Primary practice location

16620 N 40TH St
Suite I-4
Phoenix, AZ 85032-3348

Mailing address

16620 N 40TH St
Suite I-4
Phoenix, AZ 85032-3348
Phone (602) 493-8700

Other identifiers 2

IdentifierTypeStateIssuer
4649OtherAZAZ. STATE LICENSE NUMBER
20022OtherCACA. STATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000348 AZ Practitioner - ChiropracticPractitioner - Other (Physician) 5193743300 Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4045 E Bell Rd
Suite 117
Phoenix, AZ 85032-2238
Phone (602) 493-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4649AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Von Rice Chiropractic and Acupuncture LLC Chiropractor CurrentSince Aug 2, 2010 Accepting new patients
Desert Shadows Chiropractic & Wellness Chiropractor PastSince Jul 7, 2010 Accepting new patients

Locations

4045 E Bell Rd
Ste 117
Phoenix, AZ 85032
Phone (602) 493-0004

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649337544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST",
            "address_2": "SUITE I-4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323348",
            "telephone_number": "602-493-8700",
            "fax_number": "602-788-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST",
            "address_2": "SUITE I-4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323348",
            "telephone_number": "602-493-8700",
            "fax_number": "602-788-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON RICE",
        "first_name": "KURT",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ. STATE LICENSE NUMBER",
            "identifier": "4649",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA. STATE LICENSE NUMBER",
            "identifier": "20022",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.