NPIMap

Organization Active NPI

Total Wellness Medical Centre, LLC

  • General Practice Physician
  • Wilmington, DE
National Provider Identifier
1043826910
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TOTAL WELLNESS MEDICAL CENTRE, LLC
Practice address
1309 Veale Rd Ste 12
Wilmington, DE 19810-4609
Phone
(302) 478-1443
Fax
(302) 478-1442
NPI assigned
Sep 16, 2020
Last updated
Sep 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Dr. Stephen John Jankovic, DCNPI 1417096231
Title
Employee/Chiropractor
Phone
(302) 478-1443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

1309 Veale Rd Ste 12
Wilmington, DE 19810-4609

Mailing address

495 Dogwood Dr
Hockessin, DE 19707-9358

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TWmedicalcentreDE.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1404 Society Dr
Claymont, DE 19703
Phone (302) 478-1443

1309 Veale Rd
Ste 12
Wilmington, DE 19810
Phone (302) 478-1443

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1043826910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 DOGWOOD DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 VEALE RD STE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104609",
            "telephone_number": "302-478-1443",
            "fax_number": "302-478-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS MEDICAL CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "JANKOVIC",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "EMPLOYEE/CHIROPRACTOR",
        "authorized_official_telephone_number": "302-478-1443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TWmedicalcentreDE.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1309 Veale Rd Ste 12",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198104609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.