Total Lifestyle Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7965 Issued in AZ

Legal business name

TOTAL LIFESTYLE CHIROPRACTIC PLLC

Practice address

7032 E Cochise Rd
Ste A130
Scottsdale, AZ 85253-4546

Phone

(480) 368-2639

Fax

(480) 368-2643

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Sonya Ann Bladow, D.C.NPI 1295984987

Title

Owner/ Chiropractor

Phone

(480) 368-2639

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

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

• Sonya A Bladow, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1295984987

  AZ, Chiropractor

  Medicare reassignment NPD Authorized official
• Christopher L Bonin, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1326066978

  AZ, Chiropractor

  Medicare reassignment NPD

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1770735656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7032 E COCHISE RD",
            "address_2": "STE A130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534546",
            "telephone_number": "480-368-2639",
            "fax_number": "480-368-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7032 E COCHISE RD",
            "address_2": "STE A130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534546",
            "telephone_number": "480-368-2639",
            "fax_number": "480-368-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LIFESTYLE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "BLADOW",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "480-368-2639",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Scottsdale, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.