Organization Active NPI

Just Wellness

  • Chiropractor
  • Mason, OH
National Provider Identifier
1003327156
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3597 Issued in OH
Legal business name
JUST WELLNESS
Practice address
5720 Gateway Ste 101
Mason, OH 45040-1891
Phone
(513) 204-0035
Fax
(513) 204-1613
NPI assigned
Oct 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gretchen M Gretchen, DC
Title
Owner
Phone
(513) 204-0035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3597 OH Primary

Addresses

Primary practice location

5720 Gateway Ste 101
Mason, OH 45040-1891

Mailing address

5720 Gateway Ste 101
Mason, OH 45040-1891
Phone (513) 204-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180131001571 OH Part B Supplier - Clinic/Group Practice 8628338191 Receives reassigned benefits from 1 practitioner
Practice locations: Mason, OH

National Provider Directory

National Provider Directory

Locations

5720 Gateway
Ste 101
Mason, OH 45040
Phone (513) 204-0035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1003327156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 GATEWAY STE 101",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401891",
            "telephone_number": "513-204-0035",
            "fax_number": "513-204-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 GATEWAY STE 101",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401891",
            "telephone_number": "513-204-0035",
            "fax_number": "513-204-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "GRETCHEN",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-204-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.