Organization Active NPI

Whole Body Health LLC

  • Chiropractor
  • Lebanon, OR
National Provider Identifier
1861266900
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WHOLE BODY HEALTH LLC
Practice address
28 E Airport Rd
Lebanon, OR 97355-3094
Phone
(541) 405-4172
Fax
(541) 405-4086
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Dr. Savannah J Gleaves, DCNPI 1215640784
Title
Doctor/Owner
Phone
(541) 405-4172

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 Primary

Addresses

Primary practice location

28 E Airport Rd
Lebanon, OR 97355-3094

Mailing address

28 E Airport Rd
Lebanon, OR 97355-3094
Phone (541) 405-4172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112000963 OR Part B Supplier - Clinic/Group Practice 5294186391 Receives reassigned benefits from 1 practitioner
Practice locations: Lebanon, OR

National Provider Directory

National Provider Directory

Locations

28 E Airport Rd
Lebanon, OR 97355
Phone (541) 405-4172

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": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1861266900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E AIRPORT RD",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553094",
            "telephone_number": "541-405-4172",
            "fax_number": "541-405-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E AIRPORT RD",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553094",
            "telephone_number": "541-405-4172",
            "fax_number": "541-405-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE BODY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "GLEAVES",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "541-405-4172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.