Active NPI
Whole Health Clinic Inc
- Chiropractor
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH5646
- Legal business name
- WHOLE HEALTH CLINIC INC
- Practice address
- 2819 Mahan Drive
Ste 102
Tallahassee, FL 32308 - Phone
- (850) 877-8980
- Fax
- (850) 671-1796
- NPI assigned
- Feb 22, 2007
- Last updated
- Nov 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peri L Dwyer, D.C.
- Title
- Ceo/Owner
- Phone
- (850) 877-8980
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | ||
| Chiropractor | 111N00000X | CH5646 | FL | Primary |
Addresses
Primary practice location
2819 Mahan Drive
Ste 102
Tallahassee, FL 32308
Mailing address
2819 Mahan Drive
Ste 102
Tallahassee, FL 32308
Phone (850) 877-8980
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380166700 | Medicaid | FL | |
| 38125 | Other | FL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2322 Centerville Rd
Tallahassee, FL 32308
Phone (850) 877-8980
2819 Mahan Dr
Ste 102
Tallahassee, FL 32308
Phone (850) 877-8980
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Jacksonville, FL
- NPI 1841512860
-
- Chiropractor
- Tallahassee, FL
- NPI 1871628743
-
- Chiropractor
- Gainesville, FL
- NPI 1003027590
-
- Acupuncturist
- Tallahassee, FL
- NPI 1073928677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258675200000",
"number": "1801921770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2819 MAHAN DRIVE",
"address_2": "STE 102",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-877-8980",
"fax_number": "850-671-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 MAHAN DRIVE",
"address_2": "STE 102",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-877-8980",
"fax_number": "850-671-1796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE HEALTH CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2009-11-20",
"status": "A",
"authorized_official_last_name": "DWYER",
"authorized_official_first_name": "PERI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "850-877-8980",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH5646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380166700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "38125",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.