Organization Active NPI

Wilkens Chiropractic

  • Chiropractor
  • Flagstaff, AZ
National Provider Identifier
1811296338
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7305 Issued in AZ
Legal business name
WILKENS CHIROPRACTIC
Practice address
715 N Humphreys St
Flagstaff, AZ 86001-3025
Phone
(928) 853-8059
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Kymberlee Wilkens
Title
Chiropractor
Phone
(928) 853-8059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7305 AZ Primary

Addresses

Primary practice location

715 N Humphreys St
Flagstaff, AZ 86001-3025

Mailing address

715 N Humphreys St
Flagstaff, AZ 86001-3025

Other identifiers 1

IdentifierTypeStateIssuer
1124218086OtherAZNATIONAL PROVIDER IDENTIFIER

National Provider Directory

National Provider Directory

Locations

715 N Humphreys St
Flagstaff, AZ 86001
Phone (928) 600-2868

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1811296338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N HUMPHREYS ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N HUMPHREYS ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013025",
            "telephone_number": "928-853-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKENS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "WILKENS",
        "authorized_official_first_name": "KYMBERLEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "928-853-8059"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1124218086",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.