Kilcup Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4935 Issued in AZ

Legal business name

KILCUP CHIROPRACTIC PC

Practice address

7016 N 27TH Ave
Phoenix, AZ 85051-8402

Phone

(602) 864-0304

Fax

(602) 864-0990

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Darrell R Kilcup, DCNPI 1285633826

Title

Owner

Phone

(602) 864-0304

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darrell R Kilcup, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1285633826
  Medicare reassignment NPD Authorized official
• Michael Stephen Barvitz, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1437357522
  NPD (past)
• Craig Patrick Rinaldi, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1477656841
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1649423138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518402",
            "telephone_number": "602-864-0304",
            "fax_number": "602-864-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518402",
            "telephone_number": "602-864-0304",
            "fax_number": "602-864-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILCUP CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "KILCUP",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-864-0304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0930450",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Kiesling, PA-C
• Paula Kiesner, DO
• Kristine Lea Kilber
• Carli Kilbourne, LAC
• Kaja Marie Kilburn, PT, DPT, SCS, ATC
• Darrell R Kilcup, D.C.
• Kimberly Diane Kilde, RD
• Arthur Kilduff
• Tina Marie Kile
• Todd A Kile, M.D.

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.