Organization Active NPI

High Desert Chiropractic PLLC

  • Medical Specialty Clinic/Center
  • Kingman, AZ
National Provider Identifier
1649589953
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
7101 Issued in AZ
Legal business name
HIGH DESERT CHIROPRACTIC PLLC
Practice address
2401 Stockton Hill Rd
Ste 105
Kingman, AZ 86401-4189
Phone
(928) 753-5554
Fax
(928) 753-5855
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. Robert Thornton, D.C.NPI 1649369190
Title
Owner/Chiropractic
Phone
(928) 753-5554

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
Medical Specialty Clinic/Center 261QM2500X 7101 AZ Primary

Addresses

Primary practice location

2401 Stockton Hill Rd
Ste 105
Kingman, AZ 86401-4189

Mailing address

2401 Stockton Hill Rd
Ste 105
Kingman, AZ 86401-4189
Phone (928) 753-5554

Other identifiers 1

IdentifierTypeStateIssuer
AZ0943320OtherAZBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101229001086 AZ Part B Supplier - Clinic/Group Practice 8325236730 Receives reassigned benefits from 1 practitioner
Practice locations: Kingman, AZ

National Provider Directory

National Provider Directory

Locations

2401 N Stockton Hill Rd
Ste 105
Kingman, AZ 86401
Phone (928) 753-5554

2401 N Stockton Hill Rd
Ste 5
Kingman, AZ 86401
Phone (909) 335-8640

2401 N Stockton Hill Rd
Ste 1
Kingman, AZ 86401
Phone (928) 718-7188

2401 N Stockton Hill Rd
#105
Kingman, AZ 86401
Phone (928) 753-5554

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": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1649589953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 STOCKTON HILL RD",
            "address_2": "STE 105",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014189",
            "telephone_number": "928-753-5554",
            "fax_number": "928-753-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 STOCKTON HILL RD",
            "address_2": "STE 105",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014189",
            "telephone_number": "928-753-5554",
            "fax_number": "928-753-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC",
        "authorized_official_telephone_number": "928-753-5554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "7101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0943320",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.