Organization Active NPI

Wells Chiropractic Center

  • Chiropractor
  • Burlington, NC
National Provider Identifier
1396956157
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2640 Issued in NC
Legal business name
WELLS CHIROPRACTIC CENTER
Practice address
314 Alamance Rd
Burlington, NC 27215-5528
Phone
(336) 226-8450
Fax
(336) 229-5298
NPI assigned
May 24, 2007
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. Keith W. Wells, D.C.NPI 1366553109
Title
Chiropractor
Phone
(336) 226-8450

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2640 NC Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2633 NC

Addresses

Primary practice location

314 Alamance Rd
Burlington, NC 27215-5528

Mailing address

314 Alamance Rd
Burlington, NC 27215-5528
Phone (336) 226-8450

Other identifiers 3

IdentifierTypeStateIssuer
89014R9MedicaidNC
604538OtherNCUHC
0835FOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000324 NC Part B Supplier - Clinic/Group Practice 3375710809 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, NC

National Provider Directory

National Provider Directory

Locations

314 Alamance Rd
Burlington, NC 27215
Phone (336) 226-8450

Practitioners & affiliated clinicians

Practitioners 2

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1396956157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ALAMANCE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155528",
            "telephone_number": "336-226-8450",
            "fax_number": "336-229-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ALAMANCE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155528",
            "telephone_number": "336-226-8450",
            "fax_number": "336-229-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "336-226-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2640",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014R9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "604538",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0835F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.