Organization Active NPI

Embody Chiropractic Center PLLC

  • Chiropractor
  • Lake Havasu City, AZ
National Provider Identifier
1619773264
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EMBODY CHIROPRACTIC CENTER PLLC
Practice address
80 Acoma Blvd S Ste 104-106
Lake Havasu City, AZ 86403-6925
Phone
(928) 453-1055
Fax
(928) 453-1057
NPI assigned
Feb 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Pilar Burmaz
Title
Manager
Phone
(714) 336-1624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

80 Acoma Blvd S Ste 104-106
Lake Havasu City, AZ 86403-6925

Mailing address

80 Acoma Blvd S Ste 104-106
Lake Havasu City, AZ 86403-6925
Phone (714) 396-2284

National Provider Directory

National Provider Directory
Tax ID family
Embody Chiropractic Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1619773264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ACOMA BLVD S STE 104-106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036925",
            "telephone_number": "714-396-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ACOMA BLVD S STE 104-106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036925",
            "telephone_number": "928-453-1055",
            "fax_number": "928-453-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODY CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "BURMAZ",
        "authorized_official_first_name": "PILAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-336-1624"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.