NPIMap

Organization Active NPI

Wellspring Integrative Medicine PLLC

  • Clinic/Center
  • Chandler, AZ
National Provider Identifier
1104443365
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WELLSPRING INTEGRATIVE MEDICINE PLLC
Practice address
50 S Kyrene Rd Ste 1
Chandler, AZ 85226-4683
Phone
(480) 207-6489
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Dr. Rosalie Moeser, DCNPI 1346402880
Title
Owner
Phone
(571) 426-5176

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

50 S Kyrene Rd Ste 1
Chandler, AZ 85226-4683

Mailing address

50 S Kyrene Rd Ste 1
Chandler, AZ 85226-4683
Phone (480) 207-6489

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hello@ilovewellspring.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

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": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1104443365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S KYRENE RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264683",
            "telephone_number": "480-207-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S KYRENE RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264683",
            "telephone_number": "480-207-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING INTEGRATIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "MOESER",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-426-5176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hello@ilovewellspring.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "50 S Kyrene Rd Ste 1",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852264683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

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