Active NPI
Nicole Renee Buchanan, D.C
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1760550263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7117
- Practice address
- 1830 W Colter St
102
Phoenix, AZ 85015-9000 - Phone
- (602) 995-1295
- Fax
- (602) 995-1296
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7117 | AZ | Primary |
Addresses
Primary practice location
1830 W Colter St
102
Phoenix, AZ 85015-9000
Mailing address
1830 W Colter St
102
Phoenix, AZ 85015-9000
Phone (602) 995-1295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7117 | AZ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232928000000",
"number": "1760550263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 W COLTER ST",
"address_2": "102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850159000",
"telephone_number": "602-995-1295",
"fax_number": "602-995-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 W COLTER ST",
"address_2": "102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850159000",
"telephone_number": "602-995-1295",
"fax_number": "602-995-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "NICOLE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2009-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7117",
"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 Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.