Organization Active NPI

Wise Health Solutions

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1639624042
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11489 Issued in FL
Legal business name
WISE HEALTH SOLUTIONS
Practice address
701 E Broward Blvd Ste D
1
Ft Lauderdale, FL 33301-2022
Phone
(754) 900-8074
NPI assigned
Aug 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Dr. Jack Theo Wise III, D.C.
Title
Owner/Chief Clinician
Phone
(754) 900-8074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11489 FL Primary

Addresses

Primary practice location

701 E Broward Blvd Ste D
1
Ft Lauderdale, FL 33301-2022

Mailing address

701 E Broward Blvd Ste D
1
Ft Lauderdale, FL 33301-2022
Phone (754) 900-8074

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1639624042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E BROWARD BLVD STE D",
            "address_2": "1",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012022",
            "telephone_number": "754-900-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E BROWARD BLVD STE D",
            "address_2": "1",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012022",
            "telephone_number": "754-900-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "THEO",
        "authorized_official_title_or_position": "OWNER/CHIEF CLINICIAN",
        "authorized_official_telephone_number": "754-900-8074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.