Individual provider Active NPI

Wesner Mentor

  • Rehabilitation Chiropractor
  • Lantana, FL
National Provider Identifier
1568853497
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
11422 Issued in FL
Practice address
832 Lantana Rd
Lantana, FL 33462-1509
Phone
(561) 267-6960
NPI assigned
Feb 13, 2015
Last updated
Feb 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 11422 FL Primary

Addresses

Primary practice location

832 Lantana Rd
Lantana, FL 33462-1509

Mailing address

7350 Thatcher Ave
Lantana, FL 33462-5242
Phone (561) 267-6960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11422FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mentorchiropracticrehabcenter, Inc Past Accepting new patients
Woolbright Spinal Care, Inc Rehabilitation Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1568853497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 THATCHER AVE",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334625242",
            "telephone_number": "561-267-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 LANTANA RD",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621509",
            "telephone_number": "561-267-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTOR",
        "first_name": "WESNER",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "11422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.