R3New Wellness Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

R3NEW WELLNESS INC

Practice address

1145 E Dominguez St Ste G
Carson, CA 90746-3547

Phone

(714) 398-7655

Fax

(855) 447-5526

NPI assigned

Oct 26, 2019

Organization subpart

No

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

Authorized official

Name

Crysta Richter

Title

Medical Biller

Phone

(424) 903-5526

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1659914265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E DOMINGUEZ ST STE G",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463547",
            "fax_number": "855-447-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E DOMINGUEZ ST STE G",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463547",
            "telephone_number": "714-398-7655",
            "fax_number": "855-447-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R3NEW WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-26",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "CRYSTA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "424-903-5526"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Carson, CA
• Providers in Carson, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.