Advanced Chiropractic Healthcare & Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00718500 Issued in NJ

Legal business name

ADVANCED CHIROPRACTIC HEALTHCARE & WELLNESS, LLC

Practice address

613 Hope Rd Ste 1
Eatontown, NJ 07724-1279

Phone

(848) 456-4782

Fax

(848) 456-4721

NPI assigned

Oct 23, 2017

Organization subpart

No

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

Authorized official

Name

Wanderson Martins Silva, DC

Title

Owner/ Solo Practioner

Phone

(848) 456-4782

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1790296382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 HOPE RD STE 1",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241279",
            "telephone_number": "848-456-4782",
            "fax_number": "848-456-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 HOPE RD STE 1",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241279",
            "telephone_number": "848-456-4782",
            "fax_number": "848-456-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC HEALTHCARE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "WANDERSON",
        "authorized_official_middle_name": "MARTINS",
        "authorized_official_title_or_position": "OWNER/ SOLO PRACTIONER",
        "authorized_official_telephone_number": "848-456-4782",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00718500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Eatontown, NJ
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.