Active NPI
Well 386 LLC
- Chiropractor
- Gallatin, TN
National Provider Identifier
1356955629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- WELL 386 LLC
- Practice address
- 124 Goodview Way Ste D
Gallatin, TN 37066-3125 - Phone
- (615) 826-5554
- NPI assigned
- Sep 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Chappa, DC
- Title
- Owner
- Phone
- (615) 826-5554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
124 Goodview Way Ste D
Gallatin, TN 37066-3125
Mailing address
124 Goodview Way Ste D
Gallatin, TN 37066-3125
Phone (615) 826-5554
Other names 1
- Well Health & Chiropractic Gallatin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260518002242 | TN | Part B Supplier - Clinic/Group Practice | 2264844703 | Practice locations: Gallatin, TN |
National Provider Directory
National Provider DirectoryLocations
124 Goodview Way
Ste D
Gallatin, TN 37066
Phone (615) 461-7587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607299200000",
"number": "1356955629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 GOODVIEW WAY STE D",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663125",
"telephone_number": "615-826-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 GOODVIEW WAY STE D",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663125",
"telephone_number": "615-826-5554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL 386 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-03",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A",
"authorized_official_last_name": "CHAPPA",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-826-5554",
"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": "Well Health & Chiropractic Gallatin",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Well Health & Chiropractic Gallatin",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.