Centre for Health and Wellness, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4590 Issued in KS

Legal business name

CENTRE FOR HEALTH AND WELLNESS, P.A.

Practice address

701 E Comanche LN Ste B
Dodge City, KS 67801-4500

Phone

(620) 225-9922

Fax

(620) 225-1948

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brent Jeffrey Haskell, D.C.

Title

Owner

Phone

(620) 225-9922

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1821274366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E COMANCHE LN STE B",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678014500",
            "telephone_number": "620-225-9922",
            "fax_number": "620-225-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E COMANCHE LN STE B",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678014500",
            "telephone_number": "620-225-9922",
            "fax_number": "620-225-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE FOR HEALTH AND WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-225-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "060023",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dodge City, KS
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.