Individual provider Active NPI

Molly Anne Bond, DC

  • Chiropractor
  • Tempe, AZ
National Provider Identifier
1134728595
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8969 Issued in AZ
Practice address
4653 S Lakeshore Dr Ste 1
Tempe, AZ 85282-7161
Phone
(480) 775-2593
NPI assigned
Oct 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8969 AZ 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) 775-2593

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drmolly@bodywisechiro.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8969AZMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1134728595",
    "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": "480-775-2593"
        },
        {
            "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": "480-775-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "MOLLY",
        "middle_name": "ANNE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmolly@bodywisechiro.net",
            "affiliation": "N",
            "endpointDescription": "BodyWise Chiropractic, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4653 S Lakeshore Dr Ste 1",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852827161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 17, 2020; 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.