Bennett Clinic LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

20636829-L Issued in AZ

Legal business name

BENNETT CLINIC LLC

Practice address

7876 E Florentine Rd
Prescott Valley, AZ 86314-2216

Phone

(928) 772-7200

Fax

(928) 772-7779

NPI assigned

Apr 4, 2011

Last updated

Apr 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wayne A Bennett, D.C.NPI 1952386542

Title

Owner/Manager

Phone

(928) 772-7200

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Wayne A Bennett, D.C.,D.A.B.C.O.

  • Orthopedic Chiropractor
  • Prescott, AZ
  • NPI 1952386542
  NPD Authorized official
• Janelle Hicks Goligoski, DPT

  • Physical Therapist
  • Prescott, AZ
  • NPI 1033163860
  NPD
• Michael Nash, D.C.

  • Chiropractor
  • Prescott, AZ
  • NPI 1184609786
  NPD
• Travis Jordan Wetzel, DC

  • Chiropractor
  • Prescott, AZ
  • NPI 1114462157
  NPD
• Sean Moran, D.C., M.S.

  • Chiropractor
  • Bryan, OH
  • NPI 1154466860
  NPD

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1316236995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7876 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142216",
            "telephone_number": "928-772-7200",
            "fax_number": "928-772-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7876 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142216",
            "telephone_number": "928-772-7200",
            "fax_number": "928-772-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "928-772-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "20636829-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy J Beeson, D.C.
• Beginnings Birth and Wellness Center
• Daniel Bejar, LISAC
• Patricia Louise Benard-Walls, ARNP
• Bennett Clinic LLC (Bennett Clinic)
• Reneallia Bennett, NP
• Maridol Macias Bercilla, LVN
• Donna Louise Bergh
• Matthew Bergman
• Alan Sheldon Berman, M.D.

• Customized Equipment (DME) in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Customized Equipment (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.