The Well: Chiropractic and Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE WELL: CHIROPRACTIC AND WELLNESS, LLC

Practice address

5410 W 58TH Ter
Mission, KS 66205-2856

Phone

(620) 228-4323

NPI assigned

Jan 3, 2023

Last updated

Jan 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlyn Jackson, DC

Title

Owner

Phone

(620) 228-4323

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: admin@thewellchiroks.com

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1669185849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5543 WALMER ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022510",
            "telephone_number": "620-228-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 W 58TH TER",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052856",
            "telephone_number": "620-228-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELL: CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CARLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-228-4323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@thewellchiroks.com",
            "affiliation": "N",
            "endpointDescription": "Administrator Email",
            "address_1": "5410 W 58th Ter",
            "city": "Mission",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662052856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Mission, KS
• Providers in Mission, KS by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.