NPIMap

Organization Active NPI

Tri-State Integrative Health, LLC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1255761581
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000460 Issued in DE
Legal business name
TRI-STATE INTEGRATIVE HEALTH, LLC
Practice address
34B Trolley SQ
Wilmington, DE 19806-3352
Phone
(302) 743-2328
NPI assigned
Nov 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Dr. Brian Mowll, DC
Title
Managing Member
Phone
(302) 743-2328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F1-0000460 DE Primary

Addresses

Primary practice location

34B Trolley SQ
Wilmington, DE 19806-3352

Mailing address

34B Trolley SQ
Wilmington, DE 19806-3352

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1255761581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34B TROLLEY SQ",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34B TROLLEY SQ",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063352",
            "telephone_number": "302-743-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE INTEGRATIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "MOWLL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "302-743-2328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.