1632 E Cottonwood St Units a & B LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

1632 E COTTONWOOD ST UNITS A & B LLC

Practice address

1632 E Cottonwood St Ste a
Cottonwood, AZ 86326-4692

Phone

(928) 646-9220

NPI assigned

Oct 10, 2025

Organization subpart

No

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

Authorized official

Name

Blaine Upham, DCNPI 1891838801

Title

Member

Phone

(928) 399-9469

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Blaine G Upham, DC

  • Chiropractor
  • Wasilla, AK
  • NPI 1891838801
  NPD Authorized official

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1992671663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 E COTTONWOOD ST STE A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264692",
            "telephone_number": "928-646-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 E COTTONWOOD ST STE A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264692",
            "telephone_number": "928-646-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1632 E COTTONWOOD ST UNITS A & B LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "UPHAM",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-399-9469",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC
• A.C.P. Inc
• A.C.P. Inc.
• Ab Massage Threapy, PLLC
• Allison Abbey, PA-C

• Chiropractor in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.