NPIMap

Organization Active NPI

Wellness Group LLC

  • General Practice Physician
  • Henderson, NV
National Provider Identifier
1386934628
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A030285 Issued in CA
Legal business name
WELLNESS GROUP LLC
Practice address
1000 N Green Valley Pkwy
Suite 440 Number 401
Henderson, NV 89074-6170
Phone
(877) 886-7117
Fax
(702) 943-3313
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Mr. Robert Meissner, MBA
Title
Owner
Phone
(877) 886-7117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A030285 CA Primary

Addresses

Primary practice location

1000 N Green Valley Pkwy
Suite 440 Number 401
Henderson, NV 89074-6170

Mailing address

1000 N Green Valley Pkwy
Suite 440 Number 401
Henderson, NV 89074-6170
Phone (877) 886-7117

National Provider Directory

National Provider Directory

Locations

831 W 9th St
San Pedro, CA 90731
Phone (877) 886-7117

1000 N Green Valley Pkwy
Ste 440401
Henderson, NV 89074
Phone (877) 886-7117

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1386934628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N GREEN VALLEY PKWY",
            "address_2": "SUITE 440 NUMBER 401",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746170",
            "telephone_number": "877-886-7117",
            "fax_number": "702-943-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N GREEN VALLEY PKWY",
            "address_2": "SUITE 440 NUMBER 401",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746170",
            "telephone_number": "877-886-7117",
            "fax_number": "702-943-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "MEISSNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-886-7117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A030285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.