DENNIS D AND RYAN D GUSTAFSON DC
NPI 1003970930
Chiropractor in Kingman, AZ

NPI Status: Active since December 22, 2006

Contact Information

1910 LUCILLE AVE
KINGMAN, AZ
ZIP 86401
Phone: (928) 753-2047
Fax: (928) 753-2020

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  • Organization
  • Chiropractor
  • CLIA Number: 03D2078474
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 05-28-2026

About DENNIS D AND RYAN D GUSTAFSON DC

This page provides the complete NPI Profile along with additional information for Dennis D And Ryan D Gustafson Dc, a provider established in Kingman, Arizona operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1003970930 assigned on December 2006. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Dennis D And Ryan D Gustafson Dc. The authorized official of this NPI record is Dr. Ryan D Gustafson Dc (President)

NPI
1003970930
Provider Legal Name
KINGMAN CHIROPRACTIC CLINIC PC
Other Organization Name
DENNIS D AND RYAN D GUSTAFSON DC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1910 LUCILLE AVE KINGMAN, AZ 86401
Location Phone
(928) 753-2047
Location Fax
(928) 753-2020
Mailing Address
1910 LUCILLE AVE KINGMAN, AZ 86401
Mailing Phone
(928) 753-2047
Mailing Fax
(928) 753-2020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2006
Last Update Date
07-11-2008
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A chiropractor like Dennis D And Ryan D Gustafson Dc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
Taxonomy Description
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RYAN D GUSTAFSON DC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(928) 753-2047

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2078474
Facility Type
Practitioner Other
Certificate Effective Date
May 29, 2024
Certificate Expiration Date
May 28, 2026
Laboratory Director
LAURA GUSTAFSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dennis D And Ryan D Gustafson Dc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DENNIS D AND RYAN D GUSTAFSON DC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003970930
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003187096
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 1 + 8 + 7 + 0 + 9 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003970930 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407938798DR. RYAN DENNIS GUSTAFSON D.C.
Individual
Chiropractor1910 LUCILLE AVE SUITE 1
KINGMAN, AZ 86401
(928) 753-2047
1326345927MISS MELINDA DAWN WALKER LMT
Individual
Massage Therapist1910 LUCILLE AVE SUITE #3
KINGMAN, AZ 86401
(928) 692-5999
1821344425DR. LAURA JOY GUSTAFSON D.C.
Individual
Chiropractor1910 LUCILLE AVE
KINGMAN, AZ 86401
(928) 753-2047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003970930, enumerated in the NPI registry as an "organization" on December 22, 2006

The provider is located at 1910 Lucille Ave Kingman, Az 86401 and the phone number is (928) 753-2047

This medical organization specializes in Chiropractor with taxonomy code 111N00000X

The provider's CLIA number is 03D2078474 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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