KINGSWOOD PARKE FAMILY CHIROPRACTIC INC
NPI 1336368158
Chiropractor in Surprise, AZ

Q: What is Kingswood Parke Family Chiropractic Inc's specialty?

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

Active since April 24, 2007

15508 W BELL RD STE 105, SURPRISE, AZ 85374(623) 556-4772(623) 556-2316 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kingswood Parke Family Chiropractic Inc NPPES

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

KINGSWOOD PARKE FAMILY CHIROPRACTIC INC (NPI 1336368158) is a healthcare organization registered as a chiropractor in Surprise, Arizona and active in the NPI registry since April 2007. The organization lists Charles Wesley Enouen, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1336368158

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameKINGSWOOD PARKE FAMILY CHIROPRACTIC INC

Location Address15508 W BELL RD STE 105Surprise, AZ 85374-2432

Mailing Address15508 W Bell Rd Ste 105Surprise, AZ 85374-2432 · (623) 556-4772 · Fax (623) 556-2316

Phone(623) 556-4772

Fax(623) 556-2316

Organization SubpartNo

Authorized OfficialCharles Wesley EnouenChiropractor · (623) 556-4772

Enumeration DateApril 24, 2007

Last NPPES UpdateAugust 30, 2012

✔ NPI 1336368158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in AZ · 5489

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.

15508 W BELL RD STE 105, Surprise, AZ 85374

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Other Identifiers 3

Medicare ID-Type UnspecifiedZDC5489AZ · Medicare Number

OtherAZ0241860AZ · Blue Cross Blue Shield

Medicare UPINU60552AZ

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kingswood Parke Family Chiropractic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateArizonaEnrollment IDO20120831000187Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kingswood Parke Family Chiropractic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Enouen, D.C.

Chiropractic

NPI 1093832024

15508 W BELL RD SUITE 105
Surprise, AZ 85374

(623) 556-4772

✔ 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 Kingswood Parke Family Chiropractic Inc's NPI number?

The NPI number for Kingswood Parke Family Chiropractic Inc is 1336368158. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Kingswood Parke Family Chiropractic Inc located?

Kingswood Parke Family Chiropractic Inc is located at 15508 W Bell Rd Ste 105, Surprise, AZ 85374. The listed phone number is (623) 556-4772.

What is Kingswood Parke Family Chiropractic Inc's specialty?

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

Is Kingswood Parke Family Chiropractic Inc enrolled in Medicare?

Yes. Kingswood Parke Family Chiropractic Inc is registered in the Medicare PECOS enrollment system.

When is Kingswood Parke Family Chiropractic Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kingswood Parke Family Chiropractic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kingswood Parke Family Chiropractic Inc. 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 Kingswood Parke Family Chiropractic Inc was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.