Organization Active NPI

Well Deserved Wellness, LLC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1528567419
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13713 Issued in TX
Legal business name
WELL DESERVED WELLNESS, LLC
Practice address
3702 Cypress Creek Pkwy Ste O
Houston, TX 77068-3518
Phone
(832) 877-1574
NPI assigned
Feb 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Dr. Melody M Jenkins, DCNPI 1063911956
Title
Chiropractor/Owner
Phone
(832) 877-1574

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 13713 TX Primary

Addresses

Primary practice location

3702 Cypress Creek Pkwy Ste O
Houston, TX 77068-3518

Mailing address

16715 Rockwall St
Conroe, TX 77303-2071
Phone (832) 877-1574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180327002095 TX Part B Supplier - Clinic/Group Practice 3476815697 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

3702 FM 1960 Rd W
Ste O
Houston, TX 77068
Phone (281) 836-6664

3920 Cypress Creek Pkwy
Ste 320
Houston, TX 77068
Phone (832) 877-1574

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": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1528567419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16715 ROCKWALL ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773032071",
            "telephone_number": "832-877-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 CYPRESS CREEK PKWY STE O",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683518",
            "telephone_number": "832-877-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL DESERVED WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "832-877-1574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.