Organization Active NPI

Bodywise Health PLLC

  • Nutrition Chiropractor
  • Tempe, AZ
National Provider Identifier
1114799046
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
BODYWISE HEALTH PLLC
Practice address
4653 S Lakeshore Dr Ste 1
Tempe, AZ 85282-7161
Phone
(480) 335-4737
NPI assigned
Oct 24, 2023
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Dr. Barbara Bennett, DCNPI 1093751307
Title
Owner
Phone
(480) 335-4737

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
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X Primary

Addresses

Primary practice location

4653 S Lakeshore Dr Ste 1
Tempe, AZ 85282-7161

Mailing address

4653 S Lakeshore Dr Ste 1
Tempe, AZ 85282-7161
Phone (480) 335-4737

National Provider Directory

National Provider Directory

Locations

4653 S Lakeshore Dr
Ste 1
Tempe, AZ 85282
Phone (480) 440-4511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1114799046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 S LAKESHORE DR STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827161",
            "telephone_number": "480-335-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4653 S LAKESHORE DR STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827161",
            "telephone_number": "480-335-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-335-4737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.