Adbo LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0711 Issued in AZ

Legal business name

ADBO LLC

Practice address

989 S Main St, Ste a#431
Cottonwood, AZ 86326-4602

Phone

(480) 422-7000

NPI assigned

Mar 9, 2010

Organization subpart

No

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly A Lawrence, PH.D., L.AC.

  • Acupuncturist
  • Cottonwood, AZ
  • NPI 1689997322
  NPD Authorized official

Locations

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

Authorized official

Name

Dr. Beverly A Lawrence, PH.D.,C.A.HT.,L.AC.NPI 1689997322

Title

Member/Owner

Phone

(480) 422-7000

Specialties & licenses 1

Addresses

Other names 1

• Dancing Bear Healing Center Doing business as

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1760705404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 E VISTA DE MONTANA",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266957",
            "telephone_number": "480-422-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 S MAIN ST, STE A#431",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264602",
            "telephone_number": "480-422-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADBO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "480-422-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D.,C.A.HT.,L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dancing Bear Healing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dancing Bear Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Cottonwood, AZ
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.