Provider Demographics
NPI:1619038650
Name:ART OF HEALING CHIROPRACTIC INC
Entity Type:Organization
Organization Name:ART OF HEALING CHIROPRACTIC INC
Other - Org Name:THOMAS BERNDT DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:B
Authorized Official - Last Name:BERNDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-941-8433
Mailing Address - Street 1:PO BOX 3124
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257
Mailing Address - Country:US
Mailing Address - Phone:480-941-8433
Mailing Address - Fax:480-941-0833
Practice Address - Street 1:7607 E MC DOWELL RD
Practice Address - Street 2:SUITE 114
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257
Practice Address - Country:US
Practice Address - Phone:480-941-8433
Practice Address - Fax:480-841-0833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1066111N00000X
WI1375111N00000X
AZ364171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1619038650Medicare NSC