NPIMap

Organization Active NPI

Sun Valley Chiropractic and Wellness

Doing business as RK Chiropractic

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1811021439
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7616 Issued in AZ
Legal business name
SUN VALLEY CHIROPRACTIC AND WELLNESS
Doing business as
RK Chiropractic
Practice address
1111 N Gilbert Rd
Suite 115
Gilbert, AZ 85234-2313
Phone
(480) 892-5631
Fax
(480) 892-5649
NPI assigned
Mar 15, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dr. Russell Worth Manktelow, D.C.NPI 1891983029
Title
Owner
Phone
(480) 892-5631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7616 AZ Primary

Addresses

Primary practice location

1111 N Gilbert Rd
Suite 115
Gilbert, AZ 85234-2313

Mailing address

1111 N Gilbert Rd
Suite 115
Gilbert, AZ 85234-2313
Phone (480) 892-5631

Other names 1

  • RK Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1111 N Gilbert Rd
Ste 115
Gilbert, AZ 85234
Phone (480) 892-5631

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1811021439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N GILBERT RD",
            "address_2": "SUITE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342313",
            "telephone_number": "480-892-5631",
            "fax_number": "480-892-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N GILBERT RD",
            "address_2": "SUITE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342313",
            "telephone_number": "480-892-5631",
            "fax_number": "480-892-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MANKTELOW",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "WORTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-892-5631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RK Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.