Organization Active NPI

Nwi Wellness Center LLC

  • Chiropractor
  • Merrillville, IN
National Provider Identifier
1386920726
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002597A Issued in IN
Legal business name
NWI WELLNESS CENTER LLC
Practice address
6505 Broadway
Merrillville, IN 46410-3009
Phone
(217) 769-7500
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Mr. Mario Rodriguez
Title
Owner
Phone
(972) 859-0524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002597A IN Primary

Addresses

Primary practice location

6505 Broadway
Merrillville, IN 46410-3009

Mailing address

6505 Broadway
Merrillville, IN 46410-3009
Phone (217) 769-7500

National Provider Directory

National Provider Directory

Locations

6505 Broadway
Merrillville, IN 46410
Phone (219) 769-1500

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1386920726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103009",
            "telephone_number": "217-769-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103009",
            "telephone_number": "217-769-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWI WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-859-0524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002597A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.