Organization Active NPI

Tompkins Wellness Center Inc

  • Chiropractor
  • Hollister, MO
National Provider Identifier
1821230632
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007011961 Issued in MO
Legal business name
TOMPKINS WELLNESS CENTER INC
Practice address
10745 Historic Highway 165
Hollister, MO 65672-6237
Phone
(417) 336-2620
Fax
(417) 200-3014
NPI assigned
Mar 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Dr. Wayne Merrill Tompkins, D.C.NPI 1104068907
Title
President
Phone
(417) 336-2620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2007011961 MO Primary

Addresses

Primary practice location

10745 Historic Highway 165
Hollister, MO 65672-6237

Mailing address

10745 Historic Highway 165
Hollister, MO 65672-6237
Phone (417) 336-2620

Other identifiers 1

IdentifierTypeStateIssuer
MA1638MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090413000181 MO Part B Supplier - Clinic/Group Practice 3375690209 Receives reassigned benefits from 1 practitioner
Practice locations: Hollister, MO

National Provider Directory

National Provider Directory

Locations

10745 Historic Highway 165
Hollister, MO 65672
Phone (417) 336-2620

180 Mall Rd
Ste H
Hollister, MO 65672
Phone (417) 336-2620

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": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1821230632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10745 HISTORIC HIGHWAY 165",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656726237",
            "telephone_number": "417-336-2620",
            "fax_number": "417-336-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10745 HISTORIC HIGHWAY 165",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656726237",
            "telephone_number": "417-336-2620",
            "fax_number": "417-200-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMPKINS WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "MERRILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-336-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007011961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA1638",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.

Verify at the official NPI Registry.