Payson Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PAYSON CHIROPRACTIC LLC

Practice address

411 S Beeline Hwy
Payson, AZ 85541-4892

Phone

(928) 474-8417

NPI assigned

Jan 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Brendan Potter, DCNPI 1043505563

Title

Owner

Phone

(602) 688-3169

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Brendan Wayne Potter, D.C.

  • Chiropractor
  • Tucson, AZ
  • NPI 1043505563
  Medicare reassignment Authorized official
• Daniel S. Flake, D.C.,CCSP

  • Chiropractor
  • Payson, AZ
  • NPI 1710945324
  NPD

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1679112759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7457 E LAGUNA AZUL AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094930",
            "telephone_number": "602-688-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S BEELINE HWY",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414892",
            "telephone_number": "928-474-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-688-3169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Padrnos O.D. P.C.
• Paul Christian Alexander
• Paul T Yoder MD PLLC
• Cynthia Erin Pawlicki
• Payson Apothecary Pharmacy LLC
• Payson Dental Care PC
• Payson Emergency Physicians, P.C.
• Payson Eye Care Center
• Payson Healthcare Management Inc
• Payson Home Care Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.