JEREMY RAY BUCKNER (DC) – Chiropractor, NPI 1104805332

JEREMY RAY BUCKNER (DC) is a healthcare provider. based in Tempe, Arizona. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 4180 (AZ). The NPI Number for JEREMY RAY BUCKNER (DC) is 1104805332

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY RAY BUCKNER (DC)
NPI
1104805332
Phone
(480) 897-3300
Address
1001 E WARNER RD
Enumeration Date
16 January 2006
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
4802728944
Graduation Year
2004 (22 years ago)
PAC ID
7517129679
Group Practice PAC ID
8426139213
Professional Enrollment ID
I20120507000693
Address ID
AZ850335518PH7141XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

762 CHIROPRACTIC in AZ

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Provider Addresses for JEREMY RAY BUCKNER (DC)

  • 1001, East Warner Road, Raintree Luxury Homes, Tempe, Maricopa County, Arizona, 85284, United States

    SUITE 107

    TEMPE, AZ 852843224

    Phone: (480) 897-3300

    Fax: (480) 897-3312

    Type: Mailing

  • 1001 E Warner Rd

    Suite 107

    Tempe, AZ 852843224

    Phone: (480) 897-3300

    Fax: (480) 897-3312

    Type: Location

  • PO BOX 11180

    TEMPE, AZ 852840020

    Phone: (480) 897-3300

    Fax: (480) 897-3312

    Type: Mailing

  • 4540 E BASELINE RD STE 105

    MESA, AZ 852064616

    Phone: (480) 819-0393

    Fax: (480) 536-9170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120507000693IChiropracticAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions25345$0
98942Chiropractic manipulative treatment, 5 spinal regions12927$0
View full utilization report →

Insurance plans in this area (ZIP 85284)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426139213View full group profile
NameSpecialtyState
C H I R O P R A C T I CAZ
Nurse PractitionerAZ
Physical Medicine And RehabilitationAZ

Reviews

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Frequently asked questions

What is JEREMY RAY BUCKNER (DC)'s NPI number?
JEREMY RAY BUCKNER (DC)'s NPI is 1104805332 — the number used across U.S. healthcare to identify this provider.
Would JEREMY RAY BUCKNER (DC) appear as active to a payer?
You can treat JEREMY RAY BUCKNER (DC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JEREMY RAY BUCKNER (DC)'s focus?
For JEREMY RAY BUCKNER (DC), the primary taxonomy reads as Chiropractor. Clinical services aligned with this taxonomy classification.
Is JEREMY RAY BUCKNER (DC) associated with Tempe?
Public fields place JEREMY RAY BUCKNER (DC) around Tempe, Arizona. Always confirm the exact site before visiting.
Does JEREMY RAY BUCKNER (DC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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