Organization Active NPI

Kse Chiropractic Inc.

Doing business as Chiropractic USA

  • Occupational Health Chiropractor
  • Peoria, AZ
National Provider Identifier
1841275385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
AZ4824 Issued in AZ
Legal business name
KSE CHIROPRACTIC INC.
Doing business as
Chiropractic USA
Practice address
8251 W Thunderbird Rd
Suite 120
Peoria, AZ 85381-4602
Phone
(623) 773-0505
Fax
(623) 773-0405
NPI assigned
Dec 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kendall S. Ereth, D.C.NPI 1780861534
Title
President
Phone
(623) 773-0505

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
Occupational Health Chiropractor 111NX0100X AZ4824 AZ Primary

Addresses

Primary practice location

8251 W Thunderbird Rd
Suite 120
Peoria, AZ 85381-4602

Mailing address

8251 W Thunderbird Rd
Suite 120
Peoria, AZ 85381-4602
Phone (623) 773-0505

Other identifiers 1

IdentifierTypeStateIssuer
AZ0910420OtherAZBCBS

Other names 1

  • Chiropractic USA Doing business as

National Provider Directory

National Provider Directory

Locations

8251 W Thunderbird Rd
Ste 120
Peoria, AZ 85381
Phone (623) 773-0505

8251 W Thunderbird Rd
Ste 121
Peoria, AZ 85381
Phone (623) 773-0505

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": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841275385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 W THUNDERBIRD RD",
            "address_2": "SUITE 120",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814602",
            "telephone_number": "623-773-0505",
            "fax_number": "623-773-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 W THUNDERBIRD RD",
            "address_2": "SUITE 120",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814602",
            "telephone_number": "623-773-0505",
            "fax_number": "623-773-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERETH",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-773-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "AZ",
            "license": "AZ4824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0910420",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.