Organization Active NPI

Wensink Health Group LLC

  • Chiropractor
  • North Olmsted, OH
National Provider Identifier
1629478680
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3226 Issued in OH
Legal business name
WENSINK HEALTH GROUP LLC
Practice address
28821 Lorain Rd
North Olmsted, OH 44070-4013
Phone
(440) 716-8400
Fax
(440) 716-8401
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Neil Wensink, DCNPI 1528061579
Title
President
Phone
(440) 539-2315

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3226 OH Primary

Addresses

Primary practice location

28821 Lorain Rd
North Olmsted, OH 44070-4013

Mailing address

28821 Lorain Rd
North Olmsted, OH 44070-4013
Phone (440) 716-8400

Other names 1

  • Superior Spine Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141114000213 OH Part B Supplier - Clinic/Group Practice 2163644709 Receives reassigned benefits from 2 practitioners
Practice locations: North Olmsted, OH

National Provider Directory

National Provider Directory

Locations

25761 Lorain Rd
Ste 202
North Olmsted, OH 44070
Phone (440) 716-8400

Practitioners & affiliated clinicians

Practitioners 9

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": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1629478680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28821 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704013",
            "telephone_number": "440-716-8400",
            "fax_number": "440-716-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28821 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704013",
            "telephone_number": "440-716-8400",
            "fax_number": "440-716-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENSINK HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "WENSINK",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-539-2315",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.