Cottonwood Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC4916 Issued in AZ

Legal business name

COTTONWOOD CHIROPRACTIC, INC

Practice address

1770 E Villa Dr
Suite #5
Cottonwood, AZ 86326-4647

Phone

(928) 634-7930

Fax

(928) 634-7930

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kristie Lynne Kreutzfeld, D.C.NPI 1851448443

Title

Ceo, President

Phone

(928) 634-3852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristie Lynne Kreutzfeld, D.C.

  • Chiropractor
  • Cottonwood, AZ
  • NPI 1851448443
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1770768475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E VILLA DR",
            "address_2": "SUITE #5",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264647",
            "telephone_number": "928-634-7930",
            "fax_number": "928-634-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E VILLA DR",
            "address_2": "SUITE #5",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264647",
            "telephone_number": "928-634-7930",
            "fax_number": "928-634-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "KREUTZFELD",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "928-634-3852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC4916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Conrad, LCSW
• Claudia Gine Converse, FNP-C
• Heather Corrion, RN
• Cory Krueger MD PLC
• Cottonwood Children'S Dentistry
• Cottonwood Day Surgery Center
• Cottonwood Dental Associates PLLC
• Cottonwood Internal Medicine PC
• Cottonwood Kids Dental LLC
• Cottonwood Modern Dentistry, LLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.