Organization Active NPI

Chiropractic and Wellness Works,LLC

  • Rehabilitation Chiropractor
  • Hermitage, PA
National Provider Identifier
1366716672
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC010518 Issued in PA
Legal business name
CHIROPRACTIC AND WELLNESS WORKS,LLC
Practice address
490 N Kerrwood Dr
Suite 204
Hermitage, PA 16148-5202
Phone
(724) 342-7778
Fax
(724) 342-7373
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Eugene Mennow II, DC
Title
Owner
Phone
(724) 342-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X DC010518 PA Primary

Addresses

Primary practice location

490 N Kerrwood Dr
Suite 204
Hermitage, PA 16148-5202

Mailing address

490 N Kerrwood Dr
Suite 204
Hermitage, PA 16148-5202
Phone (724) 342-7778

Other identifiers 1

IdentifierTypeStateIssuer
002678882OtherPAHIGHMARK OF PENNSYLVANIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1366716672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 N KERRWOOD DR",
            "address_2": "SUITE 204",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485202",
            "telephone_number": "724-342-7778",
            "fax_number": "724-342-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 N KERRWOOD DR",
            "address_2": "SUITE 204",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485202",
            "telephone_number": "724-342-7778",
            "fax_number": "724-342-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND WELLNESS WORKS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "MENNOW",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-342-7778",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC010518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK OF PENNSYLVANIA",
            "identifier": "002678882",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.