Organization Active NPI

Comprehensive Wellness Center Inc

  • Contractor
  • New Orleans, LA
National Provider Identifier
1407970510
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
COMPREHENSIVE WELLNESS CENTER INC
Practice address
1400 Esplanade Ave
1707 Elysian Fields Ave
New Orleans, LA 70116-1803
Phone
(504) 523-4103
Fax
(504) 523-5910
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edward J Burkhalter
Title
President
Phone
(504) 523-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

1400 Esplanade Ave
1707 Elysian Fields Ave
New Orleans, LA 70116-1803

Mailing address

1400 Esplanade Ave
1707 Elysian Fields Avenue
New Orleans, LA 70116-1803
Phone (504) 523-4103

Other names 1

  • Comprehensive Wellness Center Other name

National Provider Directory

National Provider Directory

Locations

1400 Esplanade Ave
#1707
New Orleans, LA 70116
Phone (504) 523-4103

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407970510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ESPLANADE AVE",
            "address_2": "1707 ELYSIAN FIELDS AVENUE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701161803",
            "telephone_number": "504-523-4103",
            "fax_number": "504-523-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ESPLANADE AVE",
            "address_2": "1707 ELYSIAN FIELDS AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701161803",
            "telephone_number": "504-523-4103",
            "fax_number": "504-523-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKHALTER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-523-4103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.