Active NPI
Holistic Wellness Now, PA
- Chiropractor
- Sanford, FL
National Provider Identifier
1225194665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH3063
- Legal business name
- HOLISTIC WELLNESS NOW, PA
- Practice address
- 820 W Lake Mary Blvd
107
Sanford, FL 32773-5946 - Phone
- (407) 330-0240
- Fax
- (407) 330-9432
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neal Wieder, DC
- Title
- President
- Phone
- (407) 330-0240
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH3063 | FL | Primary |
| Acupuncturist | 171100000X | CH3063 | FL |
Addresses
Primary practice location
820 W Lake Mary Blvd
107
Sanford, FL 32773-5946
Mailing address
820 W Lake Mary Blvd
Suite 107
Sanford, FL 32773-5946
Phone (407) 330-0240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194299950 | Other | OH | STATE OF OHIO WORK COMP |
| 0166185 | Other | TN | BCBS OF TN |
National Provider Directory
National Provider DirectoryLocations
820 W Lake Mary Blvd
Ste 107
Sanford, FL 32773
Phone (407) 942-3258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1225194665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 W LAKE MARY BLVD",
"address_2": "SUITE 107",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735946",
"telephone_number": "407-330-0240",
"fax_number": "407-330-9432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 W LAKE MARY BLVD",
"address_2": "107",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735946",
"telephone_number": "407-330-0240",
"fax_number": "407-330-9432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC WELLNESS NOW, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "WIEDER",
"authorized_official_first_name": "NEAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-330-0240",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH3063",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "CH3063",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OHIO WORK COMP",
"identifier": "1194299950",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "0166185",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.