Organization Active NPI

Wellspring Centre for Body Balance, P.C.

  • Chiropractor
  • Ashland, OR
National Provider Identifier
1295039568
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLSPRING CENTRE FOR BODY BALANCE, P.C.
Practice address
518 Washington St
Ashland, OR 97520
Phone
(541) 482-2021
Fax
(541) 494-0047
NPI assigned
Dec 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Dr. Jordan Weeda, D.C.
Title
Owner
Phone
(541) 482-2021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

518 Washington St
Ashland, OR 97520

Mailing address

518 Washington St
Ashland, OR 97520-1682
Phone (541) 482-2021

National Provider Directory

National Provider Directory

Locations

295 E Main St
Ste 6
Ashland, OR 97520
Phone (541) 482-2021

518 Washington St
Ashland, OR 97520
Phone (541) 482-2021

108 E Hersey St
Ste 2A
Ashland, OR 97520
Phone (541) 482-2021

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": "1293753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1295039568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 WASHINGTON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201682",
            "telephone_number": "541-482-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 WASHINGTON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-482-2021",
            "fax_number": "541-494-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING CENTRE FOR BODY BALANCE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-31",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "WEEDA",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-482-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.