Kimberly Borucki Lara, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5427 Issued in AZ

Practice address

2735 W Union Hills Dr
Suite 102
Phoenix, AZ 85027-5033

Phone

(602) 973-1630

NPI assigned

Oct 2, 2007

Last updated

Oct 2, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kimberly Lara Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Align Chiropractic PLLC

  • Chiropractor
  • Surprise, AZ
  • NPI 1588969729
  NPD (past)
• Gonstead Physical Medicine PC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1316163751
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1669669800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 W UNION HILLS DR",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275033",
            "telephone_number": "602-973-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 W UNION HILLS DR",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275033",
            "telephone_number": "602-973-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUCKI LARA",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "LARA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joshua Adam Borsa
• Ricardo Borsatto, M.D.
• Matthew P Borst, M.D.
• Derek J Bortis
• Jennifer J Bortz, PHD
• Mason Borud
• Ashley Boruff
• Andrea Borum
• Michael Borum, ED.D.
• Racheal Borum, LPC

• 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 Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.