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

Active since December 22, 2006
1910 LUCILLE AVE, KINGMAN, AZ 86401(928) 753-2047(928) 753-2020 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dennis D And Ryan D Gustafson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENNIS D AND RYAN D GUSTAFSON DC (NPI 1003970930) is a healthcare organization registered as a chiropractor in Kingman, Arizona and active in the NPI registry since December 2006. The organization lists Ryan D Gustafson, President, as its authorized official.

NPPES Registry Identity

NPI1003970930
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKINGMAN CHIROPRACTIC CLINIC PC
Location Address1910 LUCILLE AVEKingman, AZ 86401-4693
Mailing Address1910 Lucille AveKingman, AZ 86401-4693 · (928) 753-2047 · Fax (928) 753-2020
Phone(928) 753-2047
Fax(928) 753-2020
Organization SubpartNo
Authorized OfficialRyan D GustafsonPresident · (928) 753-2047
Enumeration DateDecember 22, 2006
Last NPPES UpdateJuly 11, 2008
✔ NPI 1003970930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
1910 LUCILLE AVE, Kingman, AZ 86401
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Other Names 1

Doing Business AsDennis D And Ryan D Gustafson Dc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dennis D And Ryan D Gustafson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dennis D And Ryan D Gustafson Dc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Gustafson, D.C.
Chiropractic
NPI 1407938798
1910 LUCILLE AVE SUITE 1
Kingman, AZ 86401
(928) 753-2047
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingman Chiropractic Clinic PC's NPI number?

The NPI number for Kingman Chiropractic Clinic PC is 1003970930. It was assigned to this organization in the NPPES registry on December 22, 2006. The provider is doing business as Dennis D And Ryan D Gustafson Dc.

Where is Kingman Chiropractic Clinic PC located?

Kingman Chiropractic Clinic PC is located at 1910 Lucille Ave, Kingman, AZ 86401. The listed phone number is (928) 753-2047.

What is Kingman Chiropractic Clinic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kingman Chiropractic Clinic PC enrolled in Medicare?

Yes. Kingman Chiropractic Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kingman Chiropractic Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kingman Chiropractic Clinic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kingman Chiropractic Clinic PC was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.