Bodywise Chiropractic PLLC
Organization Active NPI Chiropractor · Tempe, AZ
NPI 1790968477 · NPPES record last updated Dec 14, 2009
Key facts
- NPI
- 1790968477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 7878 (AZ)
- Legal business name
- BODYWISE CHIROPRACTIC PLLC
- Practice address
- 4685 S Ash Ave
Suite H-1
Tempe, AZ 85282-6857 - Phone
- (480) 775-2593
- Fax
- (480) 621-5485
- NPI assigned
- Dec 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Barbara J Bennett, D.C.
- Title
- Owner
- Phone
- (480) 440-4511
Practitioners 1
-
Barbara Bennett, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080130000739 | AZ | Part B Supplier - Clinic/Group Practice | 4486736345 |
Receives reassigned benefits from 1 practitioner Practice locations: Tempe, AZ |
National Provider Directory
Locations
1730 E Warner Rd
Ste 8
Tempe, AZ 85284
Phone (480) 234-8396
4685 S Ash Ave
Ste H-1
Tempe, AZ 85282
Phone (480) 620-8660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 7878 | AZ | Yes |
Addresses
Primary practice location
4685 S Ash Ave
Suite H-1
Tempe, AZ 85282-6857
Mailing address
4685 S Ash Ave
Suite H-1
Tempe, AZ 85282-6857
Phone (480) 775-2593
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.