NPIMap

Organization Active NPI

The Chiropractic Wellness Connection, LLC

Doing business as The Wellness Connection

  • Chiropractor
  • O'Fallon, MO
National Provider Identifier
1518187616
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE CHIROPRACTIC WELLNESS CONNECTION, LLC
Doing business as
The Wellness Connection
Practice address
111 Ofallon Commons Dr
O Fallon, MO 63368-7931
Phone
(636) 978-0970
NPI assigned
Apr 30, 2007
Last updated
Sep 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Dr. Whitney E Hamed, D.O.NPI 1093841363
Title
Owner
Phone
(636) 978-0970

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Nutrition Chiropractor 111NN1001X 2006019910 MO
Pediatric Chiropractor 111NP0017X 2006024312 MO
Rehabilitation Chiropractor 111NR0400X 2006024311 MO

Addresses

Primary practice location

111 Ofallon Commons Dr
O Fallon, MO 63368-7931

Mailing address

111 Ofallon Commons Dr
O Fallon, MO 63368-7931
Phone (636) 978-0970

Other names 1

  • The Wellness Connection Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070907000073 MO Part B Supplier - Clinic/Group Practice 1355434341 Receives reassigned benefits from 2 practitioners
Practice locations: O Fallon, MO

National Provider Directory

National Provider Directory

Locations

111 Ofallon Commons Dr
O Fallon, MO 63368
Phone (636) 978-0970

Practitioners & affiliated clinicians

Practitioners 8

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": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1518187616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OFALLON COMMONS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687931",
            "telephone_number": "636-978-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OFALLON COMMONS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687931",
            "telephone_number": "636-978-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHIROPRACTIC WELLNESS CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "HAMED",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-978-0970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "2006019910",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MO",
            "license": "2006024312",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "2006024311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.