Organization Active NPI

Total Health Clinic of Chiropractic, LLC

  • Chiropractor
  • Bullhead City, AZ
National Provider Identifier
1013508696
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TOTAL HEALTH CLINIC OF CHIROPRACTIC, LLC
Practice address
2775 Miracle Mile Ste 1
Bullhead City, AZ 86442-3719
Phone
(928) 758-4101
Fax
(928) 758-4115
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sheila M Barnett, DCNPI 1598753402
Title
Chiropractic Owner
Phone
(716) 830-6865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2775 Miracle Mile Ste 1
Bullhead City, AZ 86442-3719

Mailing address

2775 Miracle Mile Ste 1
Bullhead City, AZ 86442-3719
Phone (289) 758-4101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210330001772 AZ Part B Supplier - Clinic/Group Practice 9133536659 Receives reassigned benefits from 1 practitioner
Practice locations: Bullhead City, AZ

National Provider Directory

National Provider Directory

Locations

2775 Miracle Mile
Ste 1
Bullhead City, AZ 86442
Phone (928) 758-4101

1325 E Boundary Cone Rd
#79
Mohave Valley, AZ 86440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1013508696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 MIRACLE MILE STE 1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864423719",
            "telephone_number": "289-758-4101",
            "fax_number": "928-758-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 MIRACLE MILE STE 1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864423719",
            "telephone_number": "928-758-4101",
            "fax_number": "928-758-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CLINIC OF CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTIC OWNER",
        "authorized_official_telephone_number": "716-830-6865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.