Active NPI
Tobijas Wells, D.C.
- Chiropractor
- East Moline, IL
National Provider Identifier
1679810667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012260
- Practice address
- 1608 10TH St
East Moline, IL 61244-1405 - Phone
- (309) 755-0323
- Fax
- (309) 755-9192
- NPI assigned
- Jan 10, 2013
- Last updated
- May 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.012260 | IL | Primary |
Addresses
Primary practice location
1608 10TH St
East Moline, IL 61244-1405
Mailing address
1608 10TH St
East Moline, IL 61244-1405
Phone (309) 755-0323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1608 10TH St
East Moline, IL 61244-1405
Phone (309) 755-0323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012260 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wells Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
1608 10th St
East Moline, IL 61244
Phone (309) 755-0323
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- East Moline, IL
- NPI 1740653732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1679810667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 10TH ST",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612441405",
"telephone_number": "309-755-0323",
"fax_number": "309-755-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 10TH ST",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612441405",
"telephone_number": "309-755-0323",
"fax_number": "309-755-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "TOBIJAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-10",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.