NPIMap

Organization Active NPI

Primary Reach Chiropractic

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1922467489
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8372 Issued in AZ
Legal business name
PRIMARY REACH CHIROPRACTIC
Practice address
5527 N 27TH Ave
Phoenix, AZ 85017-2602
Phone
(602) 242-2370
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Brandon Kulp, D.C.
Title
Chiropractor
Phone
(602) 242-2370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8372 AZ Primary

Addresses

Primary practice location

5527 N 27TH Ave
Phoenix, AZ 85017-2602

Mailing address

5527 N 27TH Ave
Phoenix, AZ 85017-2602
Phone (602) 242-2370

National Provider Directory

National Provider Directory
Tax ID family
Primary Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5527 N 27th Ave
Phoenix, AZ 85017
Phone (602) 242-2370

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1922467489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850172602",
            "telephone_number": "602-242-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850172602",
            "telephone_number": "602-242-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY REACH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "KULP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "602-242-2370",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.