Organization Active NPI

Wellness Intentionally Lived Daily PLLC

  • Chiropractor
  • St George, UT
National Provider Identifier
1679350086
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLNESS INTENTIONALLY LIVED DAILY PLLC
Doing business as
Davar Health
Practice address
4617 S Pioneer Rd Ste 101a
St George, UT 84790-5156
Phone
(435) 500-6858
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Dr. Michael Weldon Stacey, DCNPI 1831805175
Title
Owner
Phone
(254) 218-3161

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4617 S Pioneer Rd Ste 101a
St George, UT 84790-5156

Mailing address

7215 Bosque Blvd Ste 131
Waco, TX 76710-4020
Phone (254) 900-6695

Other practice location 1

7215 Bosque Blvd Ste 131
Waco, TX 76710-4020
Phone (254) 218-3161

Other names 1

  • Davar Health Doing business as

National Provider Directory

National Provider Directory

Locations

4617 S Pioneer Rd
Ste 101A
St George, UT 84790
Phone (435) 500-6858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1679350086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 BOSQUE BLVD STE 131",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104020",
            "telephone_number": "254-900-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 S PIONEER RD STE 101A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905156",
            "telephone_number": "435-500-6858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7215 Bosque Blvd Ste 131",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767104020",
            "country_code": "US",
            "telephone_number": "254-218-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS INTENTIONALLY LIVED DAILY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WELDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-218-3161",
        "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": [],
    "other_names": [
        {
            "organization_name": "Davar Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.