NPIMap

Organization Active NPI

Bodyworx Health Studio LLC

  • Chiropractor
  • Goodyear, AZ
National Provider Identifier
1699100586
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8203 Issued in AZ
Legal business name
BODYWORX HEALTH STUDIO LLC
Practice address
13291 W McDowell Rd Ste E4
Goodyear, AZ 85395-2634
Phone
(623) 218-6676
NPI assigned
Sep 10, 2013
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Jacob Hamblin Healey, D.C.NPI 1578844874
Title
Clinical Director
Phone
(602) 710-6050

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 8203 AZ Primary

Addresses

Primary practice location

13291 W McDowell Rd Ste E4
Goodyear, AZ 85395-2634

Mailing address

13291 W McDowell Rd Ste E4
Goodyear, AZ 85395-2634
Phone (623) 218-6676

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": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1699100586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13291 W MCDOWELL RD STE E4",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952634",
            "telephone_number": "623-218-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13291 W MCDOWELL RD STE E4",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952634",
            "telephone_number": "623-218-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORX HEALTH STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "HAMBLIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-710-6050",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.