Organization Active NPI

Wayne a Bennett

Doing business as Bennett Chiropracitc Clinic

  • Orthopedic Chiropractor
  • Prescott, AZ
National Provider Identifier
1508841107
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
Legal business name
WAYNE A BENNETT
Doing business as
Bennett Chiropracitc Clinic
Practice address
1202 Willow Creek Rd
Prescott, AZ 86301-1400
Phone
(928) 771-9400
Fax
(928) 771-9464
NPI assigned
Dec 7, 2005
Last updated
Oct 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Wayne Bennett, D.C.,D.A.B.C.O.NPI 1952386542
Title
Owner
Phone
(928) 771-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X NU Primary

Addresses

Primary practice location

1202 Willow Creek Rd
Prescott, AZ 86301-1400

Mailing address

1202 Willow Creek Rd
Prescott, AZ 86301-1400
Phone (928) 771-9400

Other names 1

  • Bennett Chiropracitc Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1508841107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011400",
            "telephone_number": "928-771-9400",
            "fax_number": "928-771-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011400",
            "telephone_number": "928-771-9400",
            "fax_number": "928-771-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE A BENNETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-771-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,D.A.B.C.O."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bennett Chiropracitc Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.