Organization Active NPI

Braun Chiropractic LTD

  • Chiropractor
  • Nogales, AZ
National Provider Identifier
1821327859
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5083 Issued in AZ
Legal business name
BRAUN CHIROPRACTIC LTD
Practice address
1821 N Mastick Way
Ste #1
Nogales, AZ 85621-1031
Phone
(520) 281-1300
Fax
(520) 281-4185
NPI assigned
Dec 22, 2009
Last updated
Dec 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Yvette D Braun, D.CNPI 1982716130
Title
Owner
Phone
(520) 281-1300

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
Chiropractor 111N00000X DC5083 AZ Primary

Addresses

Primary practice location

1821 N Mastick Way
Ste #1
Nogales, AZ 85621-1031

Mailing address

1821 N Mastick Way
Ste #1
Nogales, AZ 85621-1031
Phone (520) 281-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100812000839 AZ Part B Supplier - Clinic/Group Practice 9739213752 Receives reassigned benefits from 1 practitioner
Practice locations: Nogales, AZ

National Provider Directory

National Provider Directory

Locations

1821 N Mastick Way
Ph 5202811300
Nogales, AZ 85621

1821 N Mastick Way
Ste 1
Nogales, AZ 85621
Phone (520) 281-1300

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1821327859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N MASTICK WAY",
            "address_2": "STE #1",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211031",
            "telephone_number": "520-281-1300",
            "fax_number": "520-281-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N MASTICK WAY",
            "address_2": "STE #1",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211031",
            "telephone_number": "520-281-1300",
            "fax_number": "520-281-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAUN CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-281-1300",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC5083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nogales, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.