Organization Active NPI

Paradise Chiropractic and Wellness Center of STX

  • Chiropractor
  • St Thomas, VI
National Provider Identifier
1174060982
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
74C Issued in VI
Legal business name
PARADISE CHIROPRACTIC AND WELLNESS CENTER OF STX
Practice address
Route 38 Raphune Hill Al Cohen Plaza
407-8
St. Thomas, VI 00802-1222
Phone
(340) 714-4325
NPI assigned
Jan 31, 2017
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
William BucharNPI 1790788792
Title
Manager
Phone
(630) 820-1330

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
Chiropractor 111N00000X 74C VI Primary

Addresses

Primary practice location

Route 38 Raphune Hill Al Cohen Plaza
407-8
St. Thomas, VI 00802-1222

Mailing address

3015 E New York St Ste A12
Aurora, IL 60504-5163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170831001840 VI Part B Supplier - Clinic/Group Practice 7113290842 Receives reassigned benefits from 3 practitioners
Practice locations: Christiansted, VI

National Provider Directory

National Provider Directory

Locations

6006 Estate Peters Rst
Ste 9
Christiansted, VI 00820
Phone (340) 714-4326

Practitioners & affiliated clinicians

Practitioners 4

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": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1174060982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E NEW YORK ST STE A12",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 38 RAPHUNE HILL AL COHEN PLAZA",
            "address_2": "407-8",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "008021222",
            "telephone_number": "340-714-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE CHIROPRACTIC AND WELLNESS CENTER OF STX",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "BUCHAR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-820-1330"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VI",
            "license": "74C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.