Fifth Street Chiropractic Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3764 Issued in AZ

Legal business name

FIFTH STREET CHIROPRACTIC CLINIC, LLC

Practice address

5602 E 5TH St
Tucson, AZ 85711-2449

Phone

(520) 747-2724

Fax

(520) 747-5845

NPI assigned

Sep 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Scott Andrew Bentson Sr., D.C.

Title

Owner

Phone

(520) 747-2724

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1306195003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112449",
            "telephone_number": "520-747-2724",
            "fax_number": "520-747-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112449",
            "telephone_number": "520-747-2724",
            "fax_number": "520-747-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH STREET CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "BENTSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-747-2724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letty Fields, LPC
• Jennifer Alison Fiero, OTR/L
• Dominique M Fierro, MED
• Marcus Fife, FNP-C
• Leandra Treusch Fifer, LPC
• Fifth Street Chiropractic Clinic, LLC
• Gary Figge, M.D.
• Mario Figliola
• Angelica Figueroa, NP
• Cayla Figueroa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.