Individual provider Active NPI

Kim Buchkowski, DC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1851487623
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5786 Issued in AZ
Practice address
8060 E Gelding Dr Ste 101
Scottsdale, AZ 85260-6960
Phone
(480) 348-2767
Fax
(480) 348-2770
NPI assigned
Oct 5, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5786 AZ Primary

Addresses

Primary practice location

8060 E Gelding Dr Ste 101
Scottsdale, AZ 85260-6960

Mailing address

8060 E Gelding Dr Ste 101
Scottsdale, AZ 85260-6960
Phone (480) 348-2767

Other identifiers 1

IdentifierTypeStateIssuer
AZ0196050OtherAZBCBS OF ARIZONA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JGB Consulting LLC Chiropractor Past Accepting new patients
Kent Pederson DC PC Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851487623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 E GELDING DR STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606960",
            "telephone_number": "480-348-2767",
            "fax_number": "480-348-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 E GELDING DR STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606960",
            "telephone_number": "480-348-2767",
            "fax_number": "480-348-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHKOWSKI",
        "first_name": "KIM",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARIZONA",
            "identifier": "AZ0196050",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.