Wellness Roots Chiropractic & Nutrition Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009904 Issued in MI

Legal business name

WELLNESS ROOTS CHIROPRACTIC & NUTRITION CENTER PLLC

Practice address

6360 Jackson Rd
Ste F
Ann Arbor, MI 48103

Phone

(734) 369-9990

Fax

(734) 661-0784

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Katherine Eisele, D.CNPI 1770841363

Title

Owner/Doctor/President

Phone

(734) 369-9990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Katherine Diane Eisele, D.C.

  • Nutrition Chiropractor
  • Ann Arbor, MI
  • NPI 1770841363
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1538600697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 JACKSON RD",
            "address_2": "STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-369-9990",
            "fax_number": "734-661-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 JACKSON RD",
            "address_2": "STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-369-9990",
            "fax_number": "734-661-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ROOTS CHIROPRACTIC & NUTRITION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "EISELE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "734-369-9990",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristian Welch, MD
• Valerie Jean Welker, NP
• Hannah Marie Wellman, NP
• Samantha Wellman, L.L.M.S.W., M.S.W.
• Wellness Home Care, Inc.
• Ann F Wells, PHARM.D.
• Jade Wells
• Nyla Wells
• Sarah Wells
• Shane Andrew Wells, M.D.

• Chiropractor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.