Active NPI
Waltemate Wellness Center
- Chiropractor
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 749
- Legal business name
- WALTEMATE WELLNESS CENTER
- Practice address
- 8805 Jewella Ave
Suite 219
Shreveport, LA 71108-5804 - Phone
- (318) 688-0477
- Fax
- (318) 688-2376
- NPI assigned
- Nov 22, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott A Waltemate, D.C.
- Title
- Chiropractic Physician
- Phone
- (318) 688-0477
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 749 | LA | Primary |
Addresses
Primary practice location
8805 Jewella Ave
Suite 219
Shreveport, LA 71108-5804
Mailing address
8805 Jewella Ave
Suite 219
Shreveport, LA 71108-5804
Phone (318) 688-0477
National Provider Directory
National Provider DirectoryLocations
8805 Jewella Ave
Ste 219
Shreveport, LA 71108
Phone (318) 688-0477
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Shreveport, LA
- NPI 1679643506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699840660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8805 JEWELLA AVE",
"address_2": "SUITE 219",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711085804",
"telephone_number": "318-688-0477",
"fax_number": "318-688-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8805 JEWELLA AVE",
"address_2": "SUITE 219",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711085804",
"telephone_number": "318-688-0477",
"fax_number": "318-688-2376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALTEMATE WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALTEMATE",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "318-688-0477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "LA",
"license": "749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.