Organization Active NPI

Cosmic Body Wellness Fellowship

  • Religious Nonmedical Health Care Institution
  • Fort Smith, AR
National Provider Identifier
1639061948
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X
Legal business name
COSMIC BODY WELLNESS FELLOWSHIP
Practice address
7 Woodland PL
Fort Smith, AR 72904-2564
Phone
(479) 226-2002
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Authorized official

Name
Dr. Lam Truc Nguyen, DC, PHD, CCHT, LRTNPI 1770475048
Title
Founder & President
Phone
(479) 226-2002

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X
Religious Nonmedical Health Care Institution 282J00000X Primary

Addresses

Primary practice location

7 Woodland PL
Fort Smith, AR 72904-2564

Mailing address

PO Box 3135
Bentonville, AR 72712-7711
Phone (479) 226-2002

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": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753574400000",
    "number": "1639061948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3135",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127711",
            "telephone_number": "479-226-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WOODLAND PL",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729042564",
            "telephone_number": "479-226-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMIC BODY WELLNESS FELLOWSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LAM",
        "authorized_official_middle_name": "TRUC",
        "authorized_official_title_or_position": "FOUNDER & PRESIDENT",
        "authorized_official_telephone_number": "479-226-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, PHD, CCHT, LRT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; 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.