Organization Active NPI

Chiropractic Wellness Group

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1386830925
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17409 Issued in CA
Legal business name
CHIROPRACTIC WELLNESS GROUP
Practice address
969 E Green St
Pasadena, CA 91106-2410
Phone
(626) 584-9355
Fax
(626) 584-9577
NPI assigned
Sep 18, 2007
Last updated
Feb 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Dexter A. Williams, D.C.NPI 1144394628
Title
Owner
Phone
(626) 584-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17409 CA Primary

Addresses

Primary practice location

969 E Green St
Pasadena, CA 91106-2410

Mailing address

969 E Green St
Pasadena, CA 91106-2410
Phone (626) 584-9355

National Provider Directory

National Provider Directory

Locations

969 E Green St
Pasadena, CA 91106
Phone (626) 584-9355

Practitioners & affiliated clinicians

Practitioners 1

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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1386830925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 E GREEN ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062410",
            "telephone_number": "626-584-9355",
            "fax_number": "626-584-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 E GREEN ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062410",
            "telephone_number": "626-584-9355",
            "fax_number": "626-584-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-584-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.