Bodhi Body Integrative Medical Centers

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BODHI BODY INTEGRATIVE MEDICAL CENTERS

Practice address

2915 W Ray Rd
Suite 8
Chandler, AZ 85224-3631

Phone

(480) 636-0143

NPI assigned

Aug 4, 2009

Last updated

Aug 4, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

BODHI CENTER DEVELOPMENT LLCAs reported in NPPES

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

Authorized official

Name

Joanna M Oneal

Title

Ceo,Manager

Phone

(480) 636-0152

Specialties & licenses 1

Addresses

Part of

Bodhi Body Integrative Medical Centers

Locations

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1427289701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6543 E HEARN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543327",
            "telephone_number": "480-636-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 W RAY RD",
            "address_2": "SUITE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243631",
            "telephone_number": "480-636-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI BODY INTEGRATIVE MEDICAL CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BODHI CENTER DEVELOPMENT LLC",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO,MANAGER",
        "authorized_official_telephone_number": "480-636-0152"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Blumrick, M.D.
• Jonathon David Bodam, PT
• Bailey Boddeker
• Haley Vaughn Bodea, OTD, OTR/L
• Carley Boden, RN
• Body by Doc LLC
• Body Healing Studios, LLC
• Bodyworks Chiropractic & Wellness Center Inc.
• Nicole Kristine Boerboom, D.C.
• Jocelyn Correlle Bogar, SLPA

• Primary Care Clinic/Center in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.