Organization Active NPI

National Wellness Care Plan Association

  • General Practice Physician
  • Carson City, NV
National Provider Identifier
1396074019
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Dec 8, 2009

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.