Organization Active NPI

Wellness Grove Chiropractic, PLLC

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1003762998
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLNESS GROVE CHIROPRACTIC, PLLC
Practice address
2973 N Eagle Rd # 100
Meridian, ID 83646-6251
Phone
(805) 816-3286
NPI assigned
Mar 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Dr. Julia Goodman, DCNPI 1790286920
Title
Ceo
Phone
(805) 816-3286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2973 N Eagle Rd # 100
Meridian, ID 83646-6251

Mailing address

5705 N Backfire Way
Meridian, ID 83646-2025
Phone (805) 816-3286

National Provider Directory

National Provider Directory

Locations

2973 N Eagle Rd
#100
Meridian, ID 83646
Phone (208) 254-2028

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": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1003762998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 N BACKFIRE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836462025",
            "telephone_number": "805-816-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 N EAGLE RD # 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466251",
            "telephone_number": "805-816-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS GROVE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-816-3286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.