Organization Active NPI

Friendswood Forever Well LLC

  • Chiropractor
  • Friendswood, TX
National Provider Identifier
1780124859
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13392 Issued in TX
Legal business name
FRIENDSWOOD FOREVER WELL LLC
Practice address
306 S Friendswood Dr
Ste D
Friendswood, TX 77546-3982
Phone
(281) 993-0464
Fax
(281) 993-0565
NPI assigned
Mar 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Ms. Joanna Gryszkiewicz
Title
Facility Owner
Phone
(281) 993-0464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 13392 TX Primary

Addresses

Primary practice location

306 S Friendswood Dr
Ste D
Friendswood, TX 77546-3982

Mailing address

306 S Friendswood Dr
Ste D
Friendswood, TX 77546-3982
Phone (281) 993-0464

Other names 1

  • Forever Well Chiropractic 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": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1780124859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S FRIENDSWOOD DR",
            "address_2": "STE D",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463982",
            "telephone_number": "281-993-0464",
            "fax_number": "281-993-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S FRIENDSWOOD DR",
            "address_2": "STE D",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463982",
            "telephone_number": "281-993-0464",
            "fax_number": "281-993-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSWOOD FOREVER WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "GRYSZKIEWICZ",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "FACILITY OWNER",
        "authorized_official_telephone_number": "281-993-0464",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Well Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.