Assurance Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ASSURANCE CHIROPRACTIC INC

Practice address

4141 Western Dr
Suite D
Cottonwood, AZ 86326

Phone

(928) 646-9220

Fax

(928) 646-7266

NPI assigned

May 16, 2006

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Edward St George III, DCNPI 1003090671

Title

Owner President

Phone

(928) 646-9220

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, and the practitioner matching its NPPES authorized official.

• Charles Edward St George III, DC

  • Chiropractor
  • Cottonwood, AZ
  • NPI 1003090671
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1811948425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 WESTERN DRI",
            "address_2": "SUITE D",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "86326",
            "telephone_number": "928-646-9220",
            "fax_number": "928-646-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 WESTERN DR",
            "address_2": "SUITE D",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "86326",
            "telephone_number": "928-646-9220",
            "fax_number": "928-646-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "ST GEORGE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "928-646-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carisa Ishisia Authier, PSY.D.
• Ara Beth Avakian, FNP-BC

• 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 Mar 12, 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.