Organization Active NPI

Funk Consulting & Promotional Services, Inc.

Doing business as Integrated Wellness Center

  • Chiropractor
  • Sebastian, FL
National Provider Identifier
1760711246
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6567 Issued in FL
Legal business name
FUNK CONSULTING & PROMOTIONAL SERVICES, INC.
Doing business as
Integrated Wellness Center
Practice address
1511 US Highway 1
Suite 203
Sebastian, FL 32958-1611
Phone
(772) 581-3773
Fax
(772) 581-3746
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Dr. Leland Welch Funk, DC, CCEP, AP, DOM
Title
Owner
Phone
(772) 581-3773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH6567 FL Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2243 FL

Addresses

Primary practice location

1511 US Highway 1
Suite 203
Sebastian, FL 32958-1611

Mailing address

1511 US Highway 1
Suite 203
Sebastian, FL 32958-1611
Phone (772) 581-3773

Other names 1

  • Integrated Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

1511 US Highway 1
Ste 203
Sebastian, FL 32958
Phone (772) 581-3773

Practitioners & affiliated clinicians

Practitioners 2

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": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1760711246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 US HIGHWAY 1",
            "address_2": "SUITE 203",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329581611",
            "telephone_number": "772-581-3773",
            "fax_number": "772-581-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 US HIGHWAY 1",
            "address_2": "SUITE 203",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329581611",
            "telephone_number": "772-581-3773",
            "fax_number": "772-581-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNK CONSULTING & PROMOTIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "WELCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-581-3773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCEP, AP, DOM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6567",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.