NPIMap

Organization Active NPI

Wello LLC

  • Chiropractor
  • Yarmouth, ME
National Provider Identifier
1477613198
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1221 Issued in ME
Legal business name
WELLO LLC
Practice address
40 Forest Falls Dr
Yarmouth, ME 04105
Phone
(207) 846-1665
Fax
(207) 591-4384
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Kevin Michael Bardwell, D.C.NPI 1548329444
Title
Owner
Phone
(207) 846-1665

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR1221 ME Primary

Addresses

Primary practice location

40 Forest Falls Dr
Yarmouth, ME 04105

Mailing address

40 Forest Falls Dr
Yarmouth, ME 04096
Phone (207) 846-1665

National Provider Directory

National Provider Directory

Locations

40 Forest Falls Dr
Yarmouth, ME 04096
Phone (207) 807-7762

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1477613198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FOREST FALLS DR",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "04096",
            "telephone_number": "207-846-1665",
            "fax_number": "207-846-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOREST FALLS DR",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "04105",
            "telephone_number": "207-846-1665",
            "fax_number": "207-591-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "BARDWELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-846-1665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.