Wellness Collective Arizona, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WELLNESS COLLECTIVE ARIZONA, LLC

Doing business as

Dever Chiropractic

Practice address

3535 E Brown Rd Ste 101
Mesa, AZ 85213-5602

Phone

(480) 924-1987

NPI assigned

Sep 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Philip Runge Jr., DCNPI 1134614605

Title

Owner/Chiropractor

Phone

(480) 924-1987

Specialties & licenses 1

Addresses

Other names 1

• Dever Chiropractic Doing business as

Locations

Practitioners 2

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

• Philip Runge Jr., DC

  • Chiropractor
  • Chicago, IL
  • NPI 1134614605
  NPD Authorized official
• Cassandra Rosalie Runge, L.AC.

  • Acupuncturist
  • Mesa, AZ
  • NPI 1740762541
  NPD

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1194374876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135602",
            "telephone_number": "480-924-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135602",
            "telephone_number": "480-924-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COLLECTIVE ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "RUNGE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "480-924-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dever Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer A Weller, PHD
• Jonathan Neil Weller, PH.D.
• Wellness Associates, PLLC
• Wellness Care Clinics of Arizona
• Wellness Care LLC
• Wellness Group of Maricopa (North Mesa Chiropractic)
• Wellness Oasis Resource Center
• Wellness Suppliers LLC
• Maurice Leonard Wells, DACHM
• Wellsprings Behavioural Health Care LLC (Top Psych Mental Health LLC)

• Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.