Organization Active NPI

Camp Verde Family Chiropractic & Wellness Center Inc.

  • Chiropractor
  • Camp Verde, AZ
National Provider Identifier
1669798146
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8106 Issued in AZ
Legal business name
CAMP VERDE FAMILY CHIROPRACTIC & WELLNESS CENTER INC.
Practice address
564 Main Street Suite #108
Camp Verde, AZ 86322
Phone
(928) 301-4623
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Dr. Kyle French, D.C.NPI 1841522869
Title
President/Ceo
Phone
(928) 301-4623

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8106 AZ Primary

Addresses

Primary practice location

564 Main Street Suite #108
Camp Verde, AZ 86322

Mailing address

564 Main Street Suite #108
Camp Verde, AZ 86322
Phone (928) 301-4623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000227 AZ Part B Supplier - Clinic/Group Practice 9436286242 Receives reassigned benefits from 1 practitioner
Practice locations: Camp Verde, AZ

National Provider Directory

National Provider Directory

Locations

564 S Main St
#108
Camp Verde, AZ 86322

564 S Main St
Ste 108
Camp Verde, AZ 86322
Phone (928) 301-4623

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": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1669798146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 MAIN STREET SUITE #108",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "86322",
            "telephone_number": "928-301-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 MAIN STREET SUITE #108",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "86322",
            "telephone_number": "928-301-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP VERDE FAMILY CHIROPRACTIC & WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "928-301-4623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Verde, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.