Active NPI
Lux Wellness LLC
- Chiropractor
- Meridian, ID
National Provider Identifier
1710387485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1555
- Legal business name
- LUX WELLNESS LLC
- Practice address
- 1640 W Cherry LN Ste 130
Meridian, ID 83642-8187 - Phone
- (208) 895-8595
- Fax
- (208) 895-8594
- NPI assigned
- Aug 29, 2014
- 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. Lauren Marie Donbar, D.C.
- Title
- Owner
- Phone
- (208) 895-8595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1555 | ID | Primary |
Addresses
Primary practice location
1640 W Cherry LN Ste 130
Meridian, ID 83642-8187
Mailing address
1640 W Cherry LN Ste 130
Meridian, ID 83642-8187
Phone (208) 895-8595
Other names 1
- Evergreen Wellness Studios
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Greenville, TX
- NPI 1568802056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409270400000",
"number": "1710387485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 W CHERRY LN STE 130",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428187",
"telephone_number": "208-895-8595",
"fax_number": "208-895-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 W CHERRY LN STE 130",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428187",
"telephone_number": "208-895-8595",
"fax_number": "208-895-8594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUX WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-29",
"last_updated": "2014-08-29",
"status": "A",
"authorized_official_last_name": "DONBAR",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-895-8595",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Evergreen Wellness Studios",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.