Organization Active NPI

Wellness Experience Inc

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1720148265
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8047 Issued in FL
Legal business name
WELLNESS EXPERIENCE INC
Practice address
9825 SW 18TH St
Suite 200-300
Boca Raton, FL 33428-6628
Phone
(561) 883-0090
Fax
(561) 883-0676
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Randall Franklin Laurich Jr., D.C.
Title
Chiropractor
Phone
(561) 441-4221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8047 FL Primary

Addresses

Primary practice location

9825 SW 18TH St
Suite 200-300
Boca Raton, FL 33428-6628

Mailing address

9825 SW 18TH St
Suite 200-300
Boca Raton, FL 33428-6628
Phone (561) 883-0090

National Provider Directory

National Provider Directory

Locations

9825 SW 18th St
Ste 200
Boca Raton, FL 33428
Phone (561) 883-0090

21073 Powerline Rd
Ste 31
Boca Raton, FL 33433
Phone (561) 395-2800

9825 SW 18th St
Ste 200300
Boca Raton, FL 33428
Phone (561) 883-0090

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1720148265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 SW 18TH ST",
            "address_2": "SUITE 200-300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286628",
            "telephone_number": "561-883-0090",
            "fax_number": "561-883-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 SW 18TH ST",
            "address_2": "SUITE 200-300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286628",
            "telephone_number": "561-883-0090",
            "fax_number": "561-883-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS EXPERIENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "LAURICH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "561-441-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.