=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427075100
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BETTER HEALTH THROUGH CHIROPRACTIC, LTD.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/17/2006
-----------------------------------------------------
Last Update Date | 03/18/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4727 E BELL RD SUITE #61
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85032-2308
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-992-2060
-----------------------------------------------------
Fax | 602-992-0143
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4727 E BELL RD SUITE #61
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85032-2308
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-992-2060
-----------------------------------------------------
Fax | 602-992-0143
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | DR. SCOTT MICHAEL JOHNSON
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 602-992-2060
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number | 7360
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 7360
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------