Organization Active NPI

Health and Wellness Chiropractic

  • Chiropractor
  • Lakewood, CO
National Provider Identifier
1225202088
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4983 Issued in CO
Legal business name
HEALTH AND WELLNESS CHIROPRACTIC
Practice address
6565 W Jewell Ave
Suite 12a
Lakewood, CO 80232-7187
Phone
(720) 887-0624
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Dr. Greg Stuart Tomalin, D.C.
Title
President
Phone
(720) 887-0624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4983 CO Primary

Addresses

Primary practice location

6565 W Jewell Ave
Suite 12a
Lakewood, CO 80232-7187

Mailing address

13606 Xavier LN
Unit D
Broomfield, CO 80023-3604
Phone (720) 887-0624

Other names 1

  • Health and Wellness Chiropractic Center, P.C. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060203000304 CO Part B Supplier - Clinic/Group Practice 1355355892 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Broomfield, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5153 W 120th Ave
Broomfield, CO 80020
Phone (303) 404-0950

6565 W Jewell Ave
Ste 12A
Lakewood, CO 80232
Phone (303) 484-8136

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1225202088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 XAVIER LN",
            "address_2": "UNIT D",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233604",
            "telephone_number": "720-887-0624",
            "fax_number": "720-887-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 W JEWELL AVE",
            "address_2": "SUITE 12A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327187",
            "telephone_number": "720-887-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND WELLNESS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "TOMALIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-887-0624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health and Wellness Chiropractic Center, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.