Organization Active NPI

John Paul Futral DC PLLC

  • Chiropractor
  • Prescott Valley, AZ
National Provider Identifier
1962557793
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JOHN PAUL FUTRAL DC PLLC
Doing business as
FUTRAL CHIROPRACTIC CENTER
Practice address
8098 E State Route 69
Prescott Valley, AZ 86314-9403
Phone
(928) 775-3125
Fax
(928) 775-3128
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Dr. John Paul Futral, D.C.NPI 1053318428
Title
Owner
Phone
(928) 775-3125

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8098 E State Route 69
Prescott Valley, AZ 86314-9403

Mailing address

PO Box 26987
Prescott Valley, AZ 86312-6987
Phone (928) 775-3125

Other names 1

  • FUTRAL CHIROPRACTIC CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050217000723 AZ Part B Supplier - Clinic/Group Practice 6103878178 Receives reassigned benefits from 1 practitioner
Practice locations: Prescott Valley, AZ

National Provider Directory

National Provider Directory

Locations

8098 E State Route 69
#P
Prescott Valley, AZ 86314
Phone (928) 775-3125

8098 E State Route 69
Prescott Vly, AZ 86314
Phone (928) 775-3125

Practitioners & affiliated clinicians

Practitioners 1

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1962557793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26987",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863126987",
            "telephone_number": "928-775-3125",
            "fax_number": "928-775-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8098 E STATE ROUTE 69",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149403",
            "telephone_number": "928-775-3125",
            "fax_number": "928-775-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PAUL FUTRAL DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "FUTRAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-775-3125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FUTRAL CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.