Signature Chiropractic, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7560 Issued in AZ

Legal business name

SIGNATURE CHIROPRACTIC, LTD

Practice address

8345 W Thunderbird Rd
#B103
Peoria, AZ 85381-3668

Phone

(623) 334-4114

Fax

(623) 334-4117

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Albert Nahyun Kim, D.C.

Title

Doctor

Phone

(623) 334-4114

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1689844623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 W THUNDERBIRD RD",
            "address_2": "#B103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813668",
            "telephone_number": "623-334-4114",
            "fax_number": "623-334-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8345 W THUNDERBIRD RD",
            "address_2": "#B103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813668",
            "telephone_number": "623-334-4114",
            "fax_number": "623-334-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "NAHYUN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "623-334-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darby Shipman, PT DPT
• Douglas Shouse
• Ankur Janak Shukla, M.D.
• Nimrit Kaur Sidhu
• Megan Sigl
• Carly Siko, PT, DPT
• Crysta Silas, NP
• Lisa Marie Refuerzo Sim, RN, MSN, CNS
• Deborah L Simboli
• Amina Simmons, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.