NPIMap

Organization Active NPI

Lux Wellness LLC

  • Exclusive Provider Organization
  • Meridian, ID
National Provider Identifier
1164813101
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
CHIA 1555 Issued in ID
Legal business name
LUX WELLNESS LLC
Practice address
1640 W Cherry LN
Suite 130
Meridian, ID 83642-8187
Phone
(208) 895-8595
Fax
(208) 895-8594
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Dr. Lauren Marie Donbar, D.C.
Title
Owner
Phone
(208) 895-8595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X CHIA 1555 ID Primary

Addresses

Primary practice location

1640 W Cherry LN
Suite 130
Meridian, ID 83642-8187

Mailing address

1640 W Cherry LN
Suite 130
Meridian, ID 83642-8187
Phone (208) 895-8595

Other names 1

  • Evergreen Wellness Studios Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1164813101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 W CHERRY LN",
            "address_2": "SUITE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428187",
            "telephone_number": "208-895-8595",
            "fax_number": "208-895-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W CHERRY LN",
            "address_2": "SUITE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428187",
            "telephone_number": "208-895-8595",
            "fax_number": "208-895-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "DONBAR",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-895-8595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "ID",
            "license": "CHIA 1555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Wellness Studios",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.