Wellness Way Estes Park LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WELLNESS WAY ESTES PARK LLC

Practice address

521 S Saint Vrain Ave Unit B
Estes Park, CO 80517-0018

Phone

(970) 577-0007

NPI assigned

Aug 1, 2024

Organization subpart

No

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

Authorized official

Name

Shannon Bundy, DCNPI 1073053799

Title

Owner

Phone

(720) 745-3166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

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

• Jill Marie Bodensteiner, D.C.

  • Chiropractor
  • Estes Park, CO
  • NPI 1225186562
  Medicare reassignment NPD
• Shannon Nicole Bundy, D.C.

  • Chiropractor
  • Westminster, CO
  • NPI 1073053799
  NPD Authorized official

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1619706124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S SAINT VRAIN AVE UNIT B",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805170018",
            "telephone_number": "970-577-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S SAINT VRAIN AVE UNIT B",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805170018",
            "telephone_number": "970-577-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WAY ESTES PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-745-3166",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guy P Van Der Werf, MD
• James Villemonte, DDS
• Lisa Walde, PT, DPT
• Eliska C Webster, PA-C
• Curtis P Weibel, F.N.P.-C
• Wellspring Group
• Mark L Wiesner, D.O.
• Brenda S. Wilkerson, LCSW, CAC III
• Scott D Woodard, MD
• Bruce Alan Woolman, D.O.

• Chiropractor in Estes Park, CO
• Providers in Estes Park, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.