Evolve Chiropractic Wellness Center PC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00610600 Issued in NJ

Legal business name

EVOLVE CHIROPRACTIC WELLNESS CENTER PC.

Practice address

803 New Rd
Somers Point, NJ 08244-1846

Phone

(609) 927-7400

Fax

(609) 653-3072

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn A Warner, DC

Title

President

Phone

(609) 927-7400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1245495704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 NEW RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441846",
            "telephone_number": "609-927-7400",
            "fax_number": "609-653-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 NEW RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441846",
            "telephone_number": "609-927-7400",
            "fax_number": "609-653-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE CHIROPRACTIC WELLNESS CENTER PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-927-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00610600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.