Organization Active NPI

Total Family Wellness Inc.

  • Nutrition Chiropractor
  • Cedaredge, CO
National Provider Identifier
1144490376
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
5432 Issued in CO
Legal business name
TOTAL FAMILY WELLNESS INC.
Practice address
105 SE Greenwood Ave
Cedaredge, CO 81413-4003
Phone
(970) 856-3545
Fax
(970) 856-3545
NPI assigned
Mar 4, 2008
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Alexander Steven Gilmore, D.C.NPI 1902011489
Title
President
Phone
(970) 856-3545

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
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 5432 CO Primary

Addresses

Primary practice location

105 SE Greenwood Ave
Cedaredge, CO 81413-4003

Mailing address

105 SE Greenwood Ave
Cedaredge, CO 81413-4003
Phone (970) 856-3545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312001296 CO Part B Supplier - Clinic/Group Practice 4385533777 Receives reassigned benefits from 1 practitioner
Practice locations: Cedaredge, CO

National Provider Directory

National Provider Directory

Locations

105 SE Greenwood Ave
Cedaredge, CO 81413
Phone (970) 856-3545

Practitioners & affiliated clinicians

Practitioners 1

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1144490376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SE GREENWOOD AVE",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814134003",
            "telephone_number": "970-856-3545",
            "fax_number": "970-856-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SE GREENWOOD AVE",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814134003",
            "telephone_number": "970-856-3545",
            "fax_number": "970-856-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FAMILY WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-856-3545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "5432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedaredge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.