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

Active since December 22, 2006CLIA 03D2078474 · Waiver
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: August 02, 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 holds a CLIA Waiver certificate valid through May 28, 2028 and 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2078474

Kingman Chiropactic Clinic · Kingman, AZ
Active · expires May 28, 2028
CLIA Number03D2078474
Laboratory TypePractitioner Other
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorLaura Gustafson
Laboratory Phone(928) 753-2047
Laboratory LocationKingman Chiropactic Clinic1910 Lucille Ave, Kingman, AZ 86401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MELINDA DAWN WALKER LMT
Massage Therapist
1910 LUCILLE AVE, SUITE #3
KINGMAN, AZ 86401
Mohave County (928) 692-5999
DR. RYAN DENNIS GUSTAFSON D.C.
Chiropractor
1910 LUCILLE AVE, SUITE 1
KINGMAN, AZ 86401
Mohave County (928) 753-2047
DR. LAURA JOY GUSTAFSON D.C.
Chiropractor
1910 LUCILLE AVE
KINGMAN, AZ 86401
Mohave County (928) 753-2047

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.

Does Kingman Chiropractic Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2078474) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.