Organization Active NPI

Heatherdowns Chiropractic Wellness Center LLC

  • Chiropractor
  • Maumee, OH
National Provider Identifier
1124492335
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEATHERDOWNS CHIROPRACTIC WELLNESS CENTER LLC
Practice address
2526 Perrysburg Holland Rd
Maumee, OH 43537-1344
Phone
(419) 866-0462
NPI assigned
Nov 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Brenda Wehner
Title
President
Phone
(419) 866-0462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2526 Perrysburg Holland Rd
Maumee, OH 43537-1344

Mailing address

2526 Perrysburg Holland Rd
Maumee, OH 43537-1344
Phone (419) 866-0462

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160210002967 OH Part B Supplier - Clinic/Group Practice 9032413059 Receives reassigned benefits from 1 practitioner
Practice locations: Maumee, OH

National Provider Directory

National Provider Directory

Locations

2526 Perrysburg Holland Rd
Maumee, OH 43537
Phone (419) 466-0462

2526 Perrysburg Holland Rd
#R
Maumee, OH 43537

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": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1124492335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 PERRYSBURG HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371344",
            "telephone_number": "419-866-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 PERRYSBURG HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371344",
            "telephone_number": "419-866-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHERDOWNS CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "WEHNER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-866-0462"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.