NPIMap

Organization Active NPI

Chiropractic Wellness Center, P.a.

  • Health Maintenance Organization
  • Mooresville, NC
National Provider Identifier
1508015942
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
3117 Issued in NC
Legal business name
CHIROPRACTIC WELLNESS CENTER, P.A.
Practice address
386 Williamson Rd
Mooresville, NC 28117-5928
Phone
(704) 658-9920
Fax
(704) 658-9228
NPI assigned
Sep 10, 2008
Last updated
May 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Dr. Scott E Lynn, D.C.NPI 1902991656
Title
Chiropractor
Phone
(704) 658-9920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 3117 NC Primary

Addresses

Primary practice location

386 Williamson Rd
Mooresville, NC 28117-5928

Mailing address

PO Box 3822
Mooresville, NC 28117-3822
Phone (704) 658-9920

Other identifiers 2

IdentifierTypeStateIssuer
89085JNMedicaidNC
085JNOtherNCBCBS ID

National Provider Directory

National Provider Directory

Locations

386 Williamson Rd
Ste 103
Mooresville, NC 28117
Phone (704) 658-9920

Practitioners & affiliated clinicians

Practitioners 1

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": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1508015942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3822",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281173822",
            "telephone_number": "704-658-9920",
            "fax_number": "704-658-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 WILLIAMSON RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175928",
            "telephone_number": "704-658-9920",
            "fax_number": "704-658-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "704-658-9920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "3117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085JN",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "085JN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.