Organization Active NPI

Wellness Way Westminster LLC

  • Chiropractor
  • Westminster, CO
National Provider Identifier
1114431491
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLNESS WAY WESTMINSTER LLC
Practice address
12050 Pecos St Ste 208
Westminster, CO 80234-2080
Phone
(720) 379-7255
NPI assigned
Nov 26, 2017
Last updated
Dec 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Patrick Michael FlynnNPI 1366477341
Title
DC
Phone
(920) 429-2844

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

12050 Pecos St Ste 208
Westminster, CO 80234-2080

Mailing address

12050 Pecos St Ste 208
Westminster, CO 80234-2080
Phone (720) 379-7255

Other names 1

  • Wellness Way Louisville LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180116000042 CO Part B Supplier - Clinic/Group Practice 9739448903 Receives reassigned benefits from 2 practitioners
Practice locations: Westminster, CO

National Provider Directory

National Provider Directory

Locations

1075 S Boulder Rd
Ste 235
Superior, CO 80027
Phone (303) 430-4200

Practitioners & affiliated clinicians

Practitioners 6

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": "1511654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1114431491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 PECOS ST STE 208",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342080",
            "telephone_number": "720-379-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 PECOS ST STE 208",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342080",
            "telephone_number": "720-379-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WAY WESTMINSTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-26",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "920-429-2844"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Way Louisville LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.