Complete Wellness Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC00000001373 Issued in TN

Legal business name

COMPLETE WELLNESS CHIROPRACTIC CENTER

Practice address

95 Mikel St NW
Cleveland, TN 37312-5332

Phone

(423) 476-0023

Fax

(423) 476-3353

NPI assigned

Mar 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Eric William Gruber, DCNPI 1306857529

Title

Owner

Phone

(423) 476-0023

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric William Gruber, DC

  • Chiropractor
  • Cleveland, TN
  • NPI 1306857529
  Medicare reassignment Care Compare group Authorized official
• Wendy Lynn Gruber, DC

  • Chiropractor
  • Cleveland, TN
  • NPI 1396969143
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1821415688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6065",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373206065",
            "telephone_number": "423-476-0023",
            "fax_number": "423-476-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MIKEL ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125332",
            "telephone_number": "423-476-0023",
            "fax_number": "423-476-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WELLNESS CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "GRUBER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-476-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC00000001373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3679665",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.