Active NPI
Tompkins Wellness Center Inc
- Chiropractor
- Hollister, MO
National Provider Identifier
1821230632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2007011961
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA1638 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.