Organic Health and Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8360 Issued in AZ

Legal business name

ORGANIC HEALTH AND WELLNESS

Practice address

855 E Brown Rd Ste 10
Mesa, AZ 85203-4949

Phone

(480) 313-1940

Fax

(480) 999-5708

NPI assigned

Jun 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John Brock Johansen, D.C.

Title

Owner

Phone

(480) 313-1940

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1174938070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E BROWN RD STE 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034949",
            "telephone_number": "480-313-1940",
            "fax_number": "480-999-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E BROWN RD STE 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034949",
            "telephone_number": "480-313-1940",
            "fax_number": "480-999-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORGANIC HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BROCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-313-1940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.