Organization Active NPI

Well 386 LLC

  • Chiropractor
  • Gallatin, TN
National Provider Identifier
1356955629
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Dec 7, 2020

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260518002242 TN Part B Supplier - Clinic/Group Practice 2264844703 Practice locations: Gallatin, TN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.