Foundational Wellness, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10761 Issued in TX

Legal business name

FOUNDATIONAL WELLNESS, PC

Practice address

6700 Main St
Suite 116
The Colony, TX 75056-1646

Phone

(214) 469-1858

Fax

(214) 469-2461

NPI assigned

Apr 27, 2009

Organization subpart

No

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

Authorized official

Name

Jeffrey A Zwierstra, D.C.

Title

President

Phone

(214) 469-1858

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1447494067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 MAIN ST",
            "address_2": "SUITE 116",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750561646",
            "telephone_number": "214-469-1858",
            "fax_number": "214-469-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 MAIN ST",
            "address_2": "SUITE 116",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750561646",
            "telephone_number": "214-469-1858",
            "fax_number": "214-469-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONAL WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "ZWIERSTRA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-469-1858",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.