Organization Active NPI

Be Well Chiropractic, Inc.

Doing business as Be Well: A Chiropractic Wellness Community

  • Chiropractor
  • New Smyrna Beach, FL
National Provider Identifier
1245550615
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9911 Issued in FL
Legal business name
BE WELL CHIROPRACTIC, INC.
Doing business as
Be Well: A Chiropractic Wellness Community
Practice address
109 N Orange St
New Smyrna Beach, FL 32168-7027
Phone
(386) 402-8997
NPI assigned
Jun 8, 2010
Last updated
Jun 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Dr. Wendy Edwards, D.C.NPI 1558685628
Title
President
Phone
(386) 402-8997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9911 FL Primary

Addresses

Primary practice location

109 N Orange St
New Smyrna Beach, FL 32168-7027

Mailing address

109 N Orange St
New Smyrna Beach, FL 32168-7027

Other identifiers 1

IdentifierTypeStateIssuer
1558685628OtherFLNPI FOR PRACTITIONER AT BE WELL CHIROPRACTIC, INC.

Other names 1

  • Be Well: A Chiropractic Wellness Community Doing business as

National Provider Directory

National Provider Directory

Locations

109 N Orange St
New Smyrna Beach, FL 32168
Phone (386) 402-8997

515 Canal St
New Smyrna Beach, FL 32168
Phone (386) 402-8997

Practitioners & affiliated clinicians

Practitioners 2

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": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1245550615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N ORANGE ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N ORANGE ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687027",
            "telephone_number": "386-402-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-402-8997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR PRACTITIONER AT BE WELL CHIROPRACTIC, INC.",
            "identifier": "1558685628",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Well: A Chiropractic Wellness Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.