Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy Ray Buckner, DC

Individual provider Rehabilitation Chiropractor · NPI 1104805332

Jeremy Ray Buckner, DC is a Chiropractic in Mesa, Arizona. Graduated from Logan College of Chiropractic in 2004, 22 years ago. Practices with Premier Physicians Group PLLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Trained at
Logan College of Chiropractic
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4540 E Baseline Rd Ste 105
Mesa, AZ 85206-4616
Phone: (480) 819-0393
Fax: (480) 536-9170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 E Warner Rd, Tempe, AZ 85284-3224 — (480) 897-3300

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 7490 (AZ)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence 4180 (AZ)

Record details

NPI number1104805332
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 16, 2006
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing addressPo Box 11180, Tempe, AZ 85284-0020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2004 (22 years in practice)
Group practice Premier Physicians Group Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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