Organization Active NPI

Shin Wellness L L C

  • Chiropractor
  • Miami, FL
National Provider Identifier
1285826511
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8301 Issued in FL
Legal business name
SHIN WELLNESS L L C
Practice address
4500 Biscayne Blvd
Suite 202
Miami, FL 33137-3254
Phone
(305) 571-9090
Fax
(305) 571-7800
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Wendy Gallego, D.C.NPI 1043299753
Title
Owner
Phone
(305) 571-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8301 FL Primary

Addresses

Primary practice location

4500 Biscayne Blvd
Suite 202
Miami, FL 33137-3254

Mailing address

4500 Biscayne Blvd
Suite 202
Miami, FL 33137-3254
Phone (305) 571-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611001082 FL Part B Supplier - Clinic/Group Practice 6002899739 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

2125 Biscayne Blvd
Ste 540
Miami, FL 33137
Phone (305) 571-9090

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1285826511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BISCAYNE BLVD",
            "address_2": "SUITE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373254",
            "telephone_number": "305-571-9090",
            "fax_number": "305-571-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BISCAYNE BLVD",
            "address_2": "SUITE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373254",
            "telephone_number": "305-571-9090",
            "fax_number": "305-571-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN WELLNESS L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "GALLEGO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-571-9090",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.