NPIMap

Organization Active NPI

Well Adjusted Chiropractic Wellness Center, LLC

  • Chiropractor
  • Agawam, MA
National Provider Identifier
1790989853
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2896 Issued in MA
Legal business name
WELL ADJUSTED CHIROPRACTIC WELLNESS CENTER, LLC
Practice address
430 Main Street
Suite 106
Agawam, MA 01001
Phone
(413) 789-6664
Fax
(413) 789-6694
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Darlene Ann Smith, DC
Title
Owner
Phone
(413) 789-6664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2896 MA Primary

Addresses

Primary practice location

430 Main Street
Suite 106
Agawam, MA 01001

Mailing address

430 Main Street
Suite 106
Agawam, MA 01001
Phone (413) 789-6664

Other names 1

  • Agawam Family Chiropractic LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

430 Main St
Ste 106
Agawam, MA 01001
Phone (413) 789-6664

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1790989853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MAIN STREET",
            "address_2": "SUITE 106",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "01001",
            "telephone_number": "413-789-6664",
            "fax_number": "413-789-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAIN STREET",
            "address_2": "SUITE 106",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "01001",
            "telephone_number": "413-789-6664",
            "fax_number": "413-789-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL ADJUSTED CHIROPRACTIC WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-789-6664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agawam Family Chiropractic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Agawam, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.