Organization Active NPI

Waltemate Wellness Center

  • Chiropractor
  • Shreveport, LA
National Provider Identifier
1699840660
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
749 Issued in LA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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.NPI 1679643506
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.