DR. KIMBERLY BORUCKI LARA (NPI# 1669669800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669669800 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY BORUCKI LARA |
| Other Name | DR. KIMBERLY LARA |
| Credential | D.C |
| Practice Address |
2735 W Union Hills Dr Suite 102 Phoenix AZ 85027-5033 |
| Practice Telephone | 6029731630 |
| Mailing Telephone | 6029731630 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5427 | AZ | Chiropractic Providers |
| Street Address |
2735 W UNION HILLS DR SUITE 102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824812 | Jose Lara | Chiropractor | 2735 W Union Hills Dr, Suite 102, Phoenix, AZ 85027-5033 | 2005-07-07 |
| 1336408046 | Sukkhuan Pisano | Chiropractor | 2735 W Union Hills Dr, Suite 102, Phoenix, AZ 85027-5033 | 2012-05-15 |
| 1285817072 | Peter S Timko | Chiropractor | 2735 W Union Hills Dr, Ste 102, Phoenix, AZ 85027-5033 | 2007-12-14 |
| 1255528683 | Deer Valley Spine Center | Neuromusculoskeletal Medicine & OMM | 2735 W Union Hills Dr, Suite 101, Phoenix, AZ 85027-5033 | 2007-10-01 |
| 1316163751 | Gonstead Physical Medicine PC | Chiropractor | 2735 W Union Hills Dr, Suite 102, Phoenix, AZ 85027-5033 | 2007-04-17 |
| 1457426959 | Tadashi Matsuhisa | Chiropractor | 2735 W Union Hills Dr, #102, Phoenix, AZ 85027-5033 | 2006-11-21 |
| 1811940554 | Deer Valley Spine Center, LLC | Clinic/Center | 2735 W Union Hills Dr, Phoenix, AZ 85027-5033 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628476 | The Wellness Way North Phoenix LLC | Chiropractor | 34406 N 27th Dr Ste 139, Phoenix, AZ 85085-7733 | 2020-07-31 |
| 1114535366 | Brian Anthony Romero | Chiropractor | 230 S 3rd St Ste B3, Phoenix, AZ 85004-2697 | 2020-07-14 |
| 1760034573 | Teresa Stevens | Chiropractor | 42806 N 20 St, Phoenix, AZ 85087 | 2019-07-11 |
| 1609439645 | Danielle Stetzel | Chiropractor | 1130 E Missouri Ave Ste 402, Phoenix, AZ 85014-2724 | 2019-04-16 |
| 1447723598 | 28th Street Medical Group, LLC | Chiropractor | 2836 E Indian School Rd Ste A8, Phoenix, AZ 85016-6864 | 2019-01-10 |
| 1740753094 | Scott Mackenzie | Chiropractor | 4040 E Camelback Rd Ste 155, Phoenix, AZ 85018-8349 | 2019-01-09 |
| 1417437989 | Lone Star Health, LLC | Chiropractor | 10 E Ruth Ave, Phoenix, AZ 85020-3131 | 2018-08-15 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1932687969 | Trish Triemert | Chiropractor | 3415 W Glendale Ave Ste 3a, Phoenix, AZ 85051-8484 | 2018-08-01 |
| 1639667009 | Samuel William Rodriguez | Chiropractor | 1130 E Missouri Ave Ste 180, Phoenix, AZ 85014-2736 | 2018-05-01 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.