Active NPI
Geoffrey Patrick Kinnison, D.C.
- Chiropractor
- Flagstaff, AZ
National Provider Identifier
1962503250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6024
- Practice address
- 2001 N 4TH Street
Flagstaff, AZ 86004 - Phone
- (928) 526-5797
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6024 | AZ | Primary |
Addresses
Primary practice location
2001 N 4TH Street
Flagstaff, AZ 86004
Mailing address
2501 N 4TH St
Ste 7a
Flagstaff, AZ 86004-3700
Phone (520) 491-9298
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0938270 | Other | AZ | BCBS OF AZ |
| 647672 | Other | AZ | UNITED HEALTHCARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1962503250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N 4TH ST",
"address_2": "STE 7A",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860043700",
"telephone_number": "520-491-9298",
"fax_number": "928-779-2429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N 4TH STREET",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86004",
"telephone_number": "928-526-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNISON",
"first_name": "GEOFFREY",
"middle_name": "PATRICK",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "6024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AZ",
"identifier": "AZ0938270",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "647672",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.