Organization Active NPI

Total Wellness Chiropractic and Holistic Care

  • Chiropractor
  • Weiser, ID
National Provider Identifier
1164675740
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1197 Issued in ID
Legal business name
TOTAL WELLNESS CHIROPRACTIC AND HOLISTIC CARE
Practice address
343 E Main St
Weiser, ID 83672-2515
Phone
(208) 414-3333
NPI assigned
Oct 28, 2008
Organization subpart
Yes
Parent organization
TOTAL WELLNESS CHIROPRACTIC AND HOLISTIC CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. Jonathan Jay Lindsey, D.C.NPI 1194748939
Title
Chiropractor
Phone
(208) 414-3333

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA-1197 ID Primary

Addresses

Primary practice location

343 E Main St
Weiser, ID 83672-2515

Mailing address

343 E Main St
Weiser, ID 83672-2515
Phone (208) 414-3333

Other identifiers 2

IdentifierTypeStateIssuer
C9795OtherBLUE CROSS
807598100MedicaidID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070627000516 ID Part B Supplier - Clinic/Group Practice 1153420435 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fruitland, ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Total Wellness Chiro

Locations

211 N Whitley Dr
Ste 4
Fruitland, ID 83619
Phone (208) 452-7582

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1164675740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E MAIN ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722515",
            "telephone_number": "208-414-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E MAIN ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722515",
            "telephone_number": "208-414-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS CHIROPRACTIC AND HOLISTIC CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL WELLNESS CHIROPRACTIC AND HOLISTIC CARE",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "208-414-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C9795",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807598100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weiser, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.