Individual provider Active NPI

Katherine Celeste Iacuone, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1992840102
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7799 Issued in AZ
Practice address
720 E Thunderbird Rd
#1
Phoenix, AZ 85022-5396
Phone
(602) 439-1515
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7799 AZ Primary

Addresses

Primary practice location

720 E Thunderbird Rd
#1
Phoenix, AZ 85022-5396

Mailing address

720 E Thunderbird Rd
#1
Phoenix, AZ 85022-5396
Phone (602) 439-1515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070402000650 AZ Practitioner - Chiropractic 5991809857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ki HoldingsGroup PAC ID 8729122544, 2 clinicians

Practice addresses (Care Compare)

720 E Thunderbird Rd
Suite 1
Phoenix, AZ 85022-5396
Phone (602) 439-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7799AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ki Holdings Chiropractor CurrentSince Nov 12, 2009 Accepting new patients
KP Chiropractic PC Chiropractor Past Accepting new patients

Locations

720 E Thunderbird Rd
Ste 1
Phoenix, AZ 85022
Phone (602) 439-1515

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1992840102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E THUNDERBIRD RD",
            "address_2": "#1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225396",
            "telephone_number": "602-439-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E THUNDERBIRD RD",
            "address_2": "#1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225396",
            "telephone_number": "602-439-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACUONE",
        "first_name": "KATHERINE",
        "middle_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7799",
            "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 Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.