Organization Active NPI

Wellness Chiropractic & Holistic Care

  • Chiropractor
  • Lake Charles, LA
National Provider Identifier
1154872141
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLNESS CHIROPRACTIC & HOLISTIC CARE
Practice address
2301 Medora St
Lake Charles, LA 70601-1203
Phone
(337) 602-1348
Fax
(337) 602-1350
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Dr. Joshua Thomas, D.C.NPI 1770875031
Title
Chiropractor/ Owner
Phone
(337) 433-1919

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Health Service Clinic/Center 261QH0100X 1603 LA
Medical Specialty Clinic/Center 261QM2500X 1603 LA

Addresses

Primary practice location

2301 Medora St
Lake Charles, LA 70601-1203

Mailing address

2121 Lake St
Lake Charles, LA 70601-7103
Phone (337) 433-1919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241102000281 LA Part B Supplier - Clinic/Group Practice 1850824533 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

2121 Lake St
Lake Charles, LA 70601
Phone (337) 433-1919

2301 Medora St
Lake Charles, LA 70601
Phone (337) 602-1348

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": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1154872141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017103",
            "telephone_number": "337-433-1919",
            "fax_number": "337-433-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MEDORA ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706011203",
            "telephone_number": "337-602-1348",
            "fax_number": "337-602-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CHIROPRACTIC & HOLISTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "337-433-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "LA",
            "license": "1603",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "1603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.