Neuropathy Relief Centers Inc

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

NEUROPATHY RELIEF CENTERS INC

Practice address

1948 Mesquite Ave
Suite 102
Lake Havasu City, AZ 86403-5777

Phone

(928) 846-3620

Fax

(866) 611-9440

NPI assigned

Jan 27, 2012

Last updated

Jan 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bodre Mack Rising, D.C.

Title

President/Owner

Phone

(409) 289-1411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1770855314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 MESQUITE AVE",
            "address_2": "SUITE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035777",
            "telephone_number": "928-846-3620",
            "fax_number": "866-611-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 MESQUITE AVE",
            "address_2": "SUITE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035777",
            "telephone_number": "928-846-3620",
            "fax_number": "866-611-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHY RELIEF CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "RISING",
        "authorized_official_first_name": "BODRE",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "409-289-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.