EMBODY WELLNESS CHIROPRACTIC CENTER PLLC
NPI 1710619598
Chiropractor in Lake Havasu City, AZ

Q: What is Embody Wellness Chiropractic Center PLLC's specialty?

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

Active since June 29, 2022

80 ACOMA BLVD S STE 104, LAKE HAVASU CITY, AZ 86403(928) 453-1055(928) 453-1057 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2025, Feb 25, 2025, Jul 13, 2022 (3 updates tracked since 2022).

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About Embody Wellness Chiropractic Center Pllc NPPES

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

EMBODY WELLNESS CHIROPRACTIC CENTER PLLC (NPI 1710619598), doing business as Embody Wellness Chiropractic Center, is a healthcare organization registered as a chiropractor in Lake Havasu City, Arizona and active in the NPI registry since June 2022. The organization lists Shelley Bengard, Owner, as its authorized official.

NPPES Registry Identity

NPI1710619598

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameEMBODY WELLNESS CHIROPRACTIC CENTER PLLC

Location Address80 ACOMA BLVD S STE 104Lake Havasu City, AZ 86403-6926

Mailing Address80 Acoma Blvd S Ste 104Lake Havasu City, AZ 86403-6926 · (928) 453-1055 · Fax (928) 453-1057

Phone(928) 453-1055

Fax(928) 453-1057

Organization SubpartNo

Authorized OfficialShelley BengardOwner · (714) 396-2284

Enumeration DateJune 29, 2022

Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1710619598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

80 ACOMA BLVD S STE 104, Lake Havasu City, AZ 86403

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Other Names 2

Doing Business AsEmbody Wellness Chiropractic Center

Doing Business AsEmbody Wellness Chiropractic Center Pllc

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)

Embody Wellness Chiropractic Center Pllc 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 Embody Wellness Chiropractic Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shelley Bengard, D.C.

Chiropractic

NPI 1891940706

80 ACOMA BLVD S STE 104-106
Lake Havasu City, AZ 86403

(928) 453-1055

✔ Accepts MedicareSame 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 Embody Wellness Chiropractic Center PLLC's NPI number?

The NPI number for Embody Wellness Chiropractic Center PLLC is 1710619598. It was assigned to this organization in the NPPES registry on June 29, 2022. The provider is doing business as Embody Wellness Chiropractic Center.

Where is Embody Wellness Chiropractic Center PLLC located?

Embody Wellness Chiropractic Center PLLC is located at 80 Acoma Blvd S Ste 104, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-1055.

What is Embody Wellness Chiropractic Center PLLC's specialty?

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

Is Embody Wellness Chiropractic Center PLLC enrolled in Medicare?

Yes. Embody Wellness Chiropractic Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Embody Wellness Chiropractic Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Embody Wellness Chiropractic Center 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 Embody Wellness Chiropractic Center PLLC was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.