WM Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11705 Issued in TX

Legal business name

WM WELLNESS LLC

Practice address

115 E Main St
Grand Prairie, TX 75050-5722

Phone

(214) 457-4350

Fax

(877) 382-2846

NPI assigned

Dec 30, 2016

Organization subpart

Yes

Parent organization

GILMOREHANDS INCAs reported in NPPES

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

Authorized official

Name

Dr. Demitrious Antonio Gilmore, D.C.

Title

Owner

Phone

(214) 457-4350

Specialties & licenses 1

Addresses

Part of

Work-Med

Locations

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1255876223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505722",
            "telephone_number": "214-457-4350",
            "fax_number": "877-382-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505722",
            "telephone_number": "214-457-4350",
            "fax_number": "877-382-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GILMOREHANDS INC",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "DEMITRIOUS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-457-4350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.