Organization Active NPI

Chiropractic Health and Wellness Center LLC

  • Chiropractor
  • Ocean, NJ
National Provider Identifier
1629331129
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00491700
Legal business name
CHIROPRACTIC HEALTH AND WELLNESS CENTER LLC
Practice address
1398 Highway 35
Ocean, NJ 07712-3543
Phone
(732) 531-0840
Fax
(732) 531-3330
NPI assigned
Jun 19, 2012
Last updated
Jun 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Dr. Brooke McKee-Bass, DC
Title
Owner
Phone
(732) 531-0840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00491700 Primary

Addresses

Primary practice location

1398 Highway 35
Ocean, NJ 07712-3543

Mailing address

1398 Highway 35
Ocean, NJ 07712-3543
Phone (732) 531-0840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120702000175 NJ Part B Supplier - Clinic/Group Practice 2062677735 Receives reassigned benefits from 1 practitioner
Practice locations: Ocean, NJ

National Provider Directory

National Provider Directory

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": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1629331129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 HIGHWAY 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123543",
            "telephone_number": "732-531-0840",
            "fax_number": "732-531-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 HIGHWAY 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123543",
            "telephone_number": "732-531-0840",
            "fax_number": "732-531-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "MCKEE-BASS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-531-0840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": "38MC00491700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.