Organization Active NPI

Manipulators Inc

Doing business as American Chiropractic

  • Chiropractor
  • Lake Havasu City, AZ
National Provider Identifier
1669548111
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7202 Issued in AZ
Legal business name
MANIPULATORS INC
Doing business as
American Chiropractic
Practice address
30 Acoma Blvd S Ste 203
Lake Havasu City, AZ 86403-5920
Phone
(928) 680-9500
Fax
(928) 855-9605
NPI assigned
Nov 27, 2006
Last updated
Jan 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Dr. Daniel W Talley, DCNPI 1831288331
Title
Doctor Owner
Phone
(928) 680-9500

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
Chiropractor 111N00000X 7202 AZ Primary

Addresses

Primary practice location

30 Acoma Blvd S Ste 203
Lake Havasu City, AZ 86403-5920

Mailing address

340 Cypress Dr
Lake Havasu City, AZ 86406-6864
Phone (928) 680-9500

Other names 1

  • American Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000050 AZ Part B Supplier - Clinic/Group Practice 7618962440 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Havasu City, AZ

National Provider Directory

National Provider Directory

Locations

1678 McCulloch Blvd N
Lake Havasu City, AZ 86403
Phone (928) 680-9500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1669548111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CYPRESS DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864066864",
            "telephone_number": "928-680-9500",
            "fax_number": "928-855-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ACOMA BLVD S STE 203",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035920",
            "telephone_number": "928-680-9500",
            "fax_number": "928-855-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIPULATORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "928-680-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.