Randall E Wonderlich DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RANDALL E WONDERLICH DC

Doing business as

Wonderlich Chiropractic

Practice address

124 Grapevine Hwy Ste E
Hurst, TX 76054-2403

Phone

(817) 281-2991

Fax

(866) 596-2658

NPI assigned

Aug 14, 2020

Last updated

Aug 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randall E Wonderlich, DC

Title

Owner

Phone

(817) 281-2991

Specialties & licenses 1

Addresses

Other names 1

• Wonderlich Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1336750140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GRAPEVINE HWY STE E",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542403",
            "telephone_number": "817-281-2991",
            "fax_number": "866-596-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GRAPEVINE HWY STE E",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542403",
            "telephone_number": "817-281-2991",
            "fax_number": "866-596-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL E WONDERLICH DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "WONDERLICH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-281-2991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonderlich Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Hurst, TX
• Providers in Hurst, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.