Kent Pederson DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5817 Issued in AZ

Legal business name

KENT PEDERSON DC PC

Practice address

11111 N Scottsdale Rd
Suite 105
Scottsdale, AZ 85254-6701

Phone

(480) 609-1080

Fax

(480) 951-7581

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Kent Pederson, D.C.

Title

President

Phone

(480) 609-1080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pederson Family Chiropractic Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kim Buchkowski, DC

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1851487623
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770597437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 N SCOTTSDALE RD",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546701",
            "telephone_number": "480-609-1080",
            "fax_number": "480-951-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 N SCOTTSDALE RD",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546701",
            "telephone_number": "480-609-1080",
            "fax_number": "480-951-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT PEDERSON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-609-1080",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ NUMBER",
            "identifier": "AZ0936750",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pederson Family Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janice R Kenney, NP
• Lynne Maureen Kenney, PSYD
• Eric Kenning, LMSW
• Katherine Kennison, RPH
• Magdalena Kenon, DAC, LAC
• Barbara K Kent, D.D.S.
• Jacob Kent, DDS
• Kylene Ann Kent, MD
• Kentucky Urgent Care Provider Network, LLC
• Courtney R Kenyon, PA

• Chiropractor in Scottsdale, AZ
• Providers in Scottsdale, 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.