Active NPI
National Wellness Care Plan Association
- General Practice Physician
- Carson City, NV
National Provider Identifier
1396074019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- NATIONAL WELLNESS CARE PLAN ASSOCIATION
- Practice address
- 711 S Carson St
Ste 4
Carson City, NV 89701-5292 - Phone
- (866) 638-7500
- Fax
- (909) 307-8510
- NPI assigned
- Dec 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles Ronald Green Sr.
- Title
- Director
- Phone
- (866) 638-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
711 S Carson St
Ste 4
Carson City, NV 89701-5292
Mailing address
PO Box 455
Redlands, CA 92373-0141
Phone (866) 638-7500
National Provider Directory
National Provider DirectoryLocations
711 S Carson St
Ste 4
Carson City, NV 89701
Phone (631) 772-9644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260230400000",
"number": "1396074019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 455",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923730141",
"telephone_number": "866-638-7500",
"fax_number": "909-307-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S CARSON ST",
"address_2": "STE 4",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897015292",
"telephone_number": "866-638-7500",
"fax_number": "909-307-8510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL WELLNESS CARE PLAN ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "RONALD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "866-638-7500",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.