NPIMap

Organization Active NPI

Integrated Wellness Providers, PC

  • Chiropractor
  • Hokes Bluff, AL
National Provider Identifier
1255612859
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2309 Issued in AL
Legal business name
INTEGRATED WELLNESS PROVIDERS, PC
Doing business as
Dr. Janice M. Wagner DC
Practice address
3847 Old US Highway 278 E
Hokes Bluff, AL 35903-7507
Phone
(256) 494-5053
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Dr. Janice Marie Wagner, DC
Title
President/Chiropractic Physician
Phone
(256) 494-5053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2309 AL Primary

Addresses

Primary practice location

3847 Old US Highway 278 E
Hokes Bluff, AL 35903-7507

Mailing address

PO Box 2336
Gadsden, AL 35903-0336
Phone (256) 494-5053

Other names 1

  • Dr. Janice M. Wagner DC Doing business as

National Provider Directory

National Provider Directory

Locations

3847 Old US Highway 278 E
Hokes Bluff, AL 35903
Phone (256) 492-8592

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1255612859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2336",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359030336",
            "telephone_number": "256-494-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 OLD US HIGHWAY 278 E",
            "city": "HOKES BLUFF",
            "state": "AL",
            "postal_code": "359037507",
            "telephone_number": "256-494-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS PROVIDERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "256-494-5053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Janice M. Wagner DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hokes Bluff, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.