Organization Active NPI

Kairos Spine LLC

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1730945171
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KAIROS SPINE LLC
Practice address
3341 E Queen Creek Rd Ste 109
Gilbert, AZ 85297-8510
Phone
(480) 204-4593
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Brandie Harrison
Title
Director
Phone
(480) 204-4593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3341 E Queen Creek Rd Ste 109
Gilbert, AZ 85297-8510

Mailing address

3341 E Queen Creek Rd Ste 109
Gilbert, AZ 85297-8510
Phone (480) 204-4593

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1730945171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 E QUEEN CREEK RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978510",
            "telephone_number": "480-204-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 E QUEEN CREEK RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978510",
            "telephone_number": "480-204-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BRANDIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-204-4593"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.