Organization Active NPI

The Wellness Center, a Chiropractic Place, LLC

  • Chiropractor
  • Vineland, NJ
National Provider Identifier
1295052926
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00657300 Issued in NJ
Legal business name
THE WELLNESS CENTER, A CHIROPRACTIC PLACE, LLC
Practice address
1464 Harding Rd
Vineland, NJ 08361-6526
Phone
(609) 364-1999
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Dr. Staci Avakian, D.C.
Title
Owner
Phone
(609) 364-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00657300 NJ Primary

Addresses

Primary practice location

1464 Harding Rd
Vineland, NJ 08361-6526

Mailing address

1464 Harding Rd
Vineland, NJ 08361-6526
Phone (609) 364-1999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1295052926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 HARDING RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616526",
            "telephone_number": "609-364-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 HARDING RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616526",
            "telephone_number": "609-364-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CENTER, A CHIROPRACTIC PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "AVAKIAN",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-364-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00657300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.