NPIMap

Organization Active NPI

K and S Wellness LLC

  • Chiropractor
  • Wake Forest, NC
National Provider Identifier
1134468440
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4343 Issued in NC
Legal business name
K AND S WELLNESS LLC
Doing business as
Vitality Chiropractic & Family Wellness
Practice address
610 Dr Calvin Jones Hwy
Suite 104
Wake Forest, NC 27587-3100
Phone
(919) 761-5158
NPI assigned
Feb 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Sherri Raley, DCNPI 1790023653
Title
Member
Phone
(919) 802-7234

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 4343 NC Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 4340 NC

Addresses

Primary practice location

610 Dr Calvin Jones Hwy
Suite 104
Wake Forest, NC 27587-3100

Mailing address

4016 Wiggins Rd
Youngsville, NC 27596-9405
Phone (919) 802-7234

Other names 1

  • Vitality Chiropractic & Family Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130426000457 NC Part B Supplier - Clinic/Group Practice 3779729348 Receives reassigned benefits from 6 practitioners
Practice locations: Wake Forest, NC

National Provider Directory

National Provider Directory

Locations

610 Dr Calvin Jones Hwy
Ste 104
Wake Forest, NC 27587
Phone (919) 761-5158

616 Dr Calvin Jones Hwy
Ste 104
Wake Forest, NC 27587
Phone (919) 761-5158

Practitioners & affiliated clinicians

Practitioners 6

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": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1134468440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 WIGGINS RD",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969405",
            "telephone_number": "919-802-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 DR CALVIN JONES HWY",
            "address_2": "SUITE 104",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873100",
            "telephone_number": "919-761-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND S WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "RALEY",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-802-7234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4343",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Chiropractic & Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.