Bend Chiropractic Incorporated
Organization Active NPI Chiropractor · Arroyo Grande, CA
NPI 1457576431 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1457576431
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC25548 (CA)
- Legal business name
- BEND CHIROPRACTIC INCORPORATED
- Practice address
- 172 Station Way
Arroyo Grande, CA 93420-3367 - Phone
- (805) 474-4747
- Fax
- (805) 474-4247
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Amie Ann Bend, DC
- Title
- Owner
- Phone
- (805) 474-4747
Practitioners 1
-
Amie Ann Bend, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090810000489 | CA | Part B Supplier - Clinic/Group Practice | 7618021619 |
Receives reassigned benefits from 1 practitioner Practice locations: Arroyo Grande, CA |
National Provider Directory
Locations
172 Station Way
Arroyo Grande, CA 93420
Phone (805) 474-4747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC25548 | CA | Yes |
Addresses
Primary practice location
172 Station Way
Arroyo Grande, CA 93420-3367
Mailing address
172 Station Way
Arroyo Grande, CA 93420-3367
Phone (805) 474-4747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OBDC25548 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| OBDC25548 | Other | CA | CIGNA |
| OBDC25548 | Other | CA | UNITED HEALTH CARE |
| OBDC25548 | Other | CA | BLUE CROSS OF CALIFORNIA |
| OBDC25548 | Other | CA | AETNA |
Other providers in Arroyo Grande, CA
- Ciara Bauldry
- Jessica Baza
- Megan Lynn Beardsley
- Melissa Beck
- Trevor Scott Beck
- Amie Ann Bend
- Christopher Berguia
- Abigail Betts
- Andrea Noel Bey
- Gautam Sukhabhai Bhakta
All providers in Arroyo Grande, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.