Nicholas A. Wells, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-012658 Issued in IL

Practice address

4855 E State St Ste 24
Rockford, IL 61108-2274

Phone

(608) 289-5101

NPI assigned

Jul 17, 2014

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wells Chiropractic

  • Chiropractor
  • Rockford, IL
  • NPI 1700396843
  NPD Authorized official
• David Low Back Center DC

  dba Chiro-Works

  • Chiropractor
  • Freeport, IL
  • NPI 1346376241
  Medicare reassignment
• David Low Back Center DC

  dba Chiro-Works

  • Massage Therapist
  • Freeport, IL
  • NPI 1871028563
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629485040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 E STATE ST STE 24",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 E STATE ST STE 24",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082274",
            "telephone_number": "608-289-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 W Galena Ave",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610323819",
            "country_code": "US",
            "telephone_number": "815-232-2225",
            "fax_number": "815-233-2571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 W Galena Ave",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610323819",
            "country_code": "US",
            "telephone_number": "815-232-2225",
            "fax_number": "815-233-2571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "NICHOLAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-012658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "038-012658",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Well Wheels Medical Transportation LLC
• Betsy Weller, RN
• Wellness & Transformation LLC
• Wellness Way Rockford LLC
• Wells Chiropractic
• Kimberly Welsh, LCSW
• Lorie R Wendt, NP-C
• Thomas Peter Wentland, MD
• Bailey Ann Wentworth, MD
• Stephanie Ann Werner, MD

• Chiropractor in Rockford, IL
• Providers in Rockford, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.