Organization Active NPI

Twin Waves Wellness Center

  • Neurology Chiropractor
  • Solana Beach, CA
National Provider Identifier
1104563543
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
TWIN WAVES WELLNESS CENTER
Practice address
990 Highland Dr Ste 110Y
Solana Beach, CA 92075-3403
Phone
(760) 487-8106
NPI assigned
May 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Suzanna Kreemer Wong, DCNPI 1417554387
Title
Chiropractor
Phone
(760) 487-8106

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
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X Primary

Addresses

Primary practice location

990 Highland Dr Ste 110Y
Solana Beach, CA 92075-3403

Mailing address

990 Highland Dr Ste 110Y
Solana Beach, CA 92075-3403
Phone (760) 487-8106

Other names 1

  • Twin Waves Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

990 Highland Dr
Ste 110Y
Solana Beach, CA 92075
Phone (619) 997-2055

Practitioners & affiliated clinicians

Practitioners 2

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": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1104563543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HIGHLAND DR STE 110Y",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920753403",
            "telephone_number": "760-487-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HIGHLAND DR STE 110Y",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920753403",
            "telephone_number": "760-487-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN WAVES WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SUZANNA",
        "authorized_official_middle_name": "KREEMER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "760-487-8106",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Waves Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.