Wellness One LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2236 Issued in AL

Legal business name

WELLNESS ONE LLC

Doing business as

back on track

Practice address

9912 Dimitrios Blvd
Suite 102
Daphne, AL 36526-9564

Phone

(251) 625-2215

NPI assigned

Nov 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert R Dugan IIINPI 1528164910

Title

President

Phone

(251) 625-2215

Specialties & licenses 1

Addresses

Other names 1

• back on track Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Russell Dugan III

  • Chiropractor
  • Daphne, AL
  • NPI 1528164910
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1164759254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 DIMITRIOS BLVD",
            "address_2": "SUITE 102",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269564",
            "telephone_number": "251-625-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 DIMITRIOS BLVD",
            "address_2": "SUITE 102",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269564",
            "telephone_number": "251-625-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-625-2215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "back on track",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Alexandria Wasdin, LPC
• Melanie Brady Waters, M.C.D., CCC-SLP
• Kelsie Wilson Weaver, OTR/L
• David Mark Webb, P.T.
• Sara E Welch, PA-C
• Mary Elizabeth Wells, MCD, CCC-SLP
• Phenicia West
• Ginger Westfall, M.S., CF-SLP
• Elizabeth M. Wharton IX, LMFT 237
• Michele S White, PT

• Chiropractor in Daphne, AL
• Providers in Daphne, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.