Organization Active NPI

Wellness Way Chiropractic & Massage Therapy PLLC

  • Chiropractor
  • Blountville, TN
National Provider Identifier
1639490907
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2421 Issued in TN
Legal business name
WELLNESS WAY CHIROPRACTIC & MASSAGE THERAPY PLLC
Practice address
1323 Highway 394
Suite C
Blountville, TN 37617-4133
Phone
(423) 323-7691
Fax
(423) 279-7850
NPI assigned
Jun 21, 2010
Last updated
Jul 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. Michael Lee Minge II, DCNPI 1780743971
Title
Owner/Doctor
Phone
(423) 323-7691

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
Chiropractor 111N00000X 2421 TN Primary

Addresses

Primary practice location

1323 Highway 394
Suite C
Blountville, TN 37617-4133

Mailing address

P.O. Box 607
Blountville, TN 37617-0607
Phone (423) 323-7691

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000397 TN Part B Supplier - Clinic/Group Practice 5698954816 Receives reassigned benefits from 1 practitioner
Practice locations: Blountville, TN; Johnson City, TN

National Provider Directory

National Provider Directory

Locations

1323 Highway 394
Ste C
Blountville, TN 37617
Phone (423) 279-7850

Practitioners & affiliated clinicians

Practitioners 2

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": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1639490907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 607",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376170607",
            "telephone_number": "423-323-7691",
            "fax_number": "423-279-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 HIGHWAY 394",
            "address_2": "SUITE C",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376174133",
            "telephone_number": "423-323-7691",
            "fax_number": "423-279-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WAY CHIROPRACTIC & MASSAGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "MINGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "423-323-7691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.