Clinton a Bennion DC, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7279 Issued in AZ

Legal business name

CLINTON A BENNION DC, PLC

Doing business as

Fiesta Chiropractic Center

Practice address

1303 S Longmore Ste 8
Mesa, AZ 85202-9607

Phone

(480) 649-5297

Fax

(480) 649-1790

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Clint Bennion, DC

Title

Owner Chiropractor

Phone

(480) 649-5297

Specialties & licenses 1

Addresses

Other names 1

• Fiesta Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1508062225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 S LONGMORE STE 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029607",
            "telephone_number": "480-649-5297",
            "fax_number": "480-649-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S LONGMORE STE 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029607",
            "telephone_number": "480-649-5297",
            "fax_number": "480-649-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON A BENNION DC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "480-649-5297",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fiesta Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diane Clodi, LPC
• Jessica Clonts
• Kyle Nelson Clonts, PHARMD
• Chad H Close, LISAC

• 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 Aug 8, 2008; 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.