Organization Active NPI

Ross H. Kerievsky DC PC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1740472620
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5581 Issued in AZ
Legal business name
ROSS H. KERIEVSKY DC PC
Practice address
1641 E Osborn Rd
Suite 6
Phoenix, AZ 85016-7146
Phone
(602) 870-8788
Fax
(602) 265-1738
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Dr. Ross H. Kerievsky, DC, ND
Title
Physician
Phone
(602) 870-8788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5581 AZ Primary

Addresses

Primary practice location

1641 E Osborn Rd
Suite 6
Phoenix, AZ 85016-7146

Mailing address

1641 E Osborn Rd
Suite 6
Phoenix, AZ 85016-7146
Phone (602) 870-8788

National Provider Directory

National Provider Directory

Locations

1480 E Bethany Home Rd
Ste 230
Phoenix, AZ 85014
Phone (602) 689-5012

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1740472620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 E OSBORN RD",
            "address_2": "SUITE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167146",
            "telephone_number": "602-870-8788",
            "fax_number": "602-265-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E OSBORN RD",
            "address_2": "SUITE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167146",
            "telephone_number": "602-870-8788",
            "fax_number": "602-265-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS H. KERIEVSKY DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "KERIEVSKY",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-870-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, ND"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.