Organization Active NPI

Wise Wellness, PLLC

Doing business as Wise Chiropractic and Wellness

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1386364297
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WISE WELLNESS, PLLC
Doing business as
Wise Chiropractic and Wellness
Practice address
9425 N Nevada St Ste 104
Spokane, WA 99218-1294
Phone
(509) 939-9817
Fax
(509) 984-4570
NPI assigned
Aug 31, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Mrs. Emmy Wise
Title
Office/Billing Manager
Phone
(509) 939-9817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

9425 N Nevada St Ste 104
Spokane, WA 99218-1294

Mailing address

1502 W Carl J LN
Spokane, WA 99218-2762
Phone (509) 939-9817

Other names 1

  • Wise Chiropractic and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221104001546 WA Part B Supplier - Clinic/Group Practice 0042687980 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1386364297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W CARL J LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182762",
            "telephone_number": "509-939-9817",
            "fax_number": "509-984-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 N NEVADA ST STE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181294",
            "telephone_number": "509-939-9817",
            "fax_number": "509-984-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "EMMY",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "509-939-9817",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.