Individual provider Active NPI

Stephen Clinton Wellens, D.C., D.A.C.N.B.

  • Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1376550152
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29195 Issued in CA
Practice address
1229 Oakland Blvd
Suite D
Walnut Creek, CA 94596-4359
Phone
(925) 935-2422
Fax
(925) 930-0412
NPI assigned
Aug 2, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 29195 CA Primary
Neurology Chiropractor 111NN0400X 29195 CA

Addresses

Primary practice location

1229 Oakland Blvd
Suite D
Walnut Creek, CA 94596-4359

Mailing address

1229 Oakland Blvd
Suite D
Walnut Creek, CA 94596-4359
Phone (925) 935-2422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812001513 CA Practitioner - Chiropractic 4789657313 Practice locations: Brentwood, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1120 2ND St
Suite a
Brentwood, CA 94513-2234
Phone (925) 480-4246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29195CAMDNeurology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1376550152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 OAKLAND BLVD",
            "address_2": "SUITE D",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964359",
            "telephone_number": "925-935-2422",
            "fax_number": "925-930-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 OAKLAND BLVD",
            "address_2": "SUITE D",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964359",
            "telephone_number": "925-935-2422",
            "fax_number": "925-930-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLENS",
        "first_name": "STEPHEN",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.N.B.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29195",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "29195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.