Omniwell, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OMNIWELL, LLC

Doing business as

Optimal Spine Wellness Center

Practice address

7713 San Jacinto PL
Suite 100
Plano, TX 75024-3215

Phone

(913) 439-9645

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Wesley Jensen, D.C.NPI 1497939516

Title

Chiropractor

Phone

(913) 439-9645

Specialties & licenses 2

Addresses

Other names 1

• Optimal Spine Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Kyle Wesley Jensen, D.C.

  • Chiropractor
  • Plano, TX
  • NPI 1497939516
  Medicare reassignment NPD Authorized official
• Hung Tien Bui, D.C

  • Chiropractor
  • Addison, TX
  • NPI 1376259218
  NPD (past)
• Morgan Ellen Jensen, RDN

  • Registered Dietitian
  • Plano, TX
  • NPI 1336530823

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1093118267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7713 SAN JACINTO PL",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243215",
            "telephone_number": "913-439-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7713 SAN JACINTO PL",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243215",
            "telephone_number": "913-439-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "913-439-9645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Spine Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Plano, TX
• Providers in Plano, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.