Organization Active NPI

Lux Wellness LLC

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1710387485
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1555 Issued in ID
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

Updated by the provider on Aug 29, 2014

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.