KD Healthcare LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

KD HEALTHCARE LLC

Doing business as

White Rock Health Care

Practice address

1001 E Warner Rd
Suite 107
Tempe, AZ 85284-3224

Phone

(480) 897-3300

Fax

(480) 897-3312

NPI assigned

Nov 13, 2013

Organization subpart

Yes

Parent organization

KD HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Dr. Jeremy R Buckner, D.C.NPI 1104805332

Title

Owner

Phone

(602) 421-2730

Specialties & licenses 6

Addresses

Other names 1

• White Rock Health Care Doing business as

Tax ID family

White Rock Chiropractic2 organizations share this tax ID, including this one

Part of

White Rock Chiropractic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• KD Chiropractic LLC

  dba Metro Center Chiropractic

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1295018919
  NPD tax ID

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.

• Jeremy Ray Buckner, DC

  • Chiropractor
  • Mesa, AZ
  • NPI 1104805332
  NPD (past) Authorized official

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1780014621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E WARNER RD",
            "address_2": "SUITE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843224",
            "telephone_number": "480-897-3300",
            "fax_number": "480-897-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E WARNER RD",
            "address_2": "SUITE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843224",
            "telephone_number": "480-897-3300",
            "fax_number": "480-897-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KD HEALTHCARE LLC",
        "enumeration_date": "2013-11-13",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-421-2730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Rock Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lynn Katt, DBH, LCSW, MPA
• Claudia Kauffman
• Joel Juuko Kayondo I
• KC Global Enterprises (Integrative Psychiatric Services)
• KD Chiropractic LLC (Whiterock Chiropractic)
• Maureen Keaveny, PH.D.
• Erin Keena
• Anna Kingsley Keenan, MA,BCBA
• Tyler Michael Kees I, MS, LAC
• Rondeanna Keevama

• Physical Medicine & Rehabilitation Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.