Organization Active NPI

The Health & Wellness Clinic of Chiropractic, LLC

  • Health Service Clinic/Center
  • Tampa, FL
National Provider Identifier
1568636520
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
9486 Issued in FL
Legal business name
THE HEALTH & WELLNESS CLINIC OF CHIROPRACTIC, LLC
Practice address
6921 Pistol Range Road
Suite 102
Tampa, FL 33635-9613
Phone
(813) 818-7373
Fax
(813) 818-7332
NPI assigned
Apr 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. John B. McHenry, D.C.NPI 1548433881
Title
Chiropractor
Phone
(813) 818-7373

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
Health Service Clinic/Center 261QH0100X 9486 FL Primary

Addresses

Primary practice location

6921 Pistol Range Road
Suite 102
Tampa, FL 33635-9613

Mailing address

6921 Pistol Range Rd
Suite 102
Tampa, FL 33635-9613
Phone (813) 818-7373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000699 FL Part B Supplier - Clinic/Group Practice 5698933984 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

6921 Pistol Range Rd
Ste 102
Tampa, FL 33635
Phone (813) 818-7373

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": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1568636520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 PISTOL RANGE RD",
            "address_2": "SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359613",
            "telephone_number": "813-818-7373",
            "fax_number": "813-818-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6921 PISTOL RANGE ROAD",
            "address_2": "SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359613",
            "telephone_number": "813-818-7373",
            "fax_number": "813-818-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH & WELLNESS CLINIC OF CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "MCHENRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "813-818-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "9486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.