Optimal Wellness Center of Indiana, L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002369A Issued in IN

Legal business name

OPTIMAL WELLNESS CENTER OF INDIANA, L.L.C.

Practice address

4375 Georgetown Rd
Indianapolis, IN 46254-2150

Phone

(317) 504-0425

Fax

(317) 216-7479

NPI assigned

Mar 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Hunter Montieth, D.C.

Title

Owner

Phone

(317) 504-0425

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1083856488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 GEORGETOWN RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542150",
            "telephone_number": "317-504-0425",
            "fax_number": "317-216-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 GEORGETOWN RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542150",
            "telephone_number": "317-504-0425",
            "fax_number": "317-216-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL WELLNESS CENTER OF INDIANA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "MONTIETH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-504-0425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002369A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.