SAN PEDRO CHIROPRACTIC
NPI 1124532361
Chiropractor in Benson, AZ

Active since November 27, 2017
338 E 4TH ST, BENSON, AZ 85602(520) 586-9364 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2024, Feb 26, 2020, Aug 17, 2018 and 2 more (5 updates tracked since 2017).

About San Pedro Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN PEDRO CHIROPRACTIC (NPI 1124532361) is a healthcare organization registered as a chiropractor in Benson, Arizona and active in the NPI registry since November 2017. The organization lists Frederick Von Brinck Ways Pllc, Member, as its authorized official.

NPPES Registry Identity

NPI1124532361
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALING WAYS PLLC
Location Address338 E 4TH STBenson, AZ 85602
Mailing Address338 E 4th StBenson, AZ 85602-6614
Organization SubpartNo
Authorized OfficialFrederick Von Brinck Ways PllcMember · (520) 586-9364
Enumeration DateNovember 27, 2017
Last NPPES UpdateApril 30, 20245 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1124532361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 4956
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
338 E 4TH ST, Benson, AZ 85602

Other Names 1

Doing Business AsSan Pedro Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Pedro Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Pedro Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1427441146
338 E 4TH ST
Benson, AZ 85602
(520) 586-9364
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healing Ways PLLC's NPI number?

The NPI number for Healing Ways PLLC is 1124532361. It was assigned to this organization in the NPPES registry on November 27, 2017. The provider is doing business as San Pedro Chiropractic.

Where is Healing Ways PLLC located?

Healing Ways PLLC is located at 338 E 4th St, Benson, AZ 85602. The listed phone number is (520) 586-9364.

What is Healing Ways PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Healing Ways PLLC enrolled in Medicare?

Yes. Healing Ways PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healing Ways PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Healing Ways PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healing Ways PLLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.