Kayenta Family Health Care PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5801 Issued in AZ

Legal business name

KAYENTA FAMILY HEALTH CARE PC

Doing business as

Kayenta Family Chiropractic

Practice address

One Canyon Drive
Kayenta, AZ 86033-2817

Phone

(928) 697-2547

Fax

(928) 697-2549

NPI assigned

Jan 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randal Scott Bouchard, D.C.

Title

President

Phone

(928) 697-2547

Specialties & licenses 1

Addresses

Other names 1

• Kayenta Family Chiropractic Doing business as

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730238221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2817",
            "address_2": "ONE CANYON DRIVE",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860332817",
            "telephone_number": "928-697-2547",
            "fax_number": "928-697-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CANYON DRIVE",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860332817",
            "telephone_number": "928-697-2547",
            "fax_number": "928-697-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYENTA FAMILY HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-697-2547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kayenta Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Mary Katner, RN
• Kayenta Alternative Rural Hospital
• Kayenta Alternative Rural Hospital (Kayenta Physicians)
• Kayenta Alternative Rural Hospital (Kayenta Pharmacy)
• Kayenta Counseling Services
• Kayenta Health Center, Radiology Dept
• Kayenta Outpatient Treatment Center
• Kayenta Unified School
• Kayenta Unified School District
• Dorcas Mina Kayquaptewa, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.