Organization Active NPI

Wend Wellness LLC

  • Chiropractor
  • Stony Brook, NY
National Provider Identifier
1497593933
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WEND WELLNESS LLC
Doing business as
Wend Wellness Chiropractic
Practice address
21 Main St
Stony Brook, NY 11790-1901
Phone
(631) 485-3643
Fax
(631) 485-3643
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Shane Wend, D.CNPI 1053032433
Title
Owner
Phone
(631) 485-3643

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 Primary

Addresses

Primary practice location

21 Main St
Stony Brook, NY 11790-1901

Mailing address

21 Main St
Stony Brook, NY 11790-1901
Phone (631) 485-3643

Other names 1

  • Wend Wellness Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

21 Main St
Stony Brook, NY 11790
Phone (631) 485-3643

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": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1497593933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901901",
            "telephone_number": "631-485-3643",
            "fax_number": "631-485-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901901",
            "telephone_number": "631-485-3643",
            "fax_number": "631-485-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "WEND",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-485-3643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wend Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.