Active NPI
Total Wellness 21
- Chiropractor
- Midlothian, VA
National Provider Identifier
1861967929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- TOTAL WELLNESS 21
- Practice address
- 11156 Hull Street Rd
Midlothian, VA 23112-3205 - Phone
- (804) 744-2211
- Fax
- (804) 744-2773
- NPI assigned
- Oct 4, 2018
- 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
- Debra Jo Martin
- Title
- Office Manager
- Phone
- (804) 744-2211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
11156 Hull Street Rd
Midlothian, VA 23112-3205
Mailing address
11156 Hull Street Rd
Midlothian, VA 23112-3205
Phone (804) 744-2211
Other names 1
- Martin Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11156 Hull Street Rd
Midlothian, VA 23112
Phone (804) 744-2211
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": "1538611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538611200000",
"number": "1861967929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11156 HULL STREET RD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231123205",
"telephone_number": "804-744-2211",
"fax_number": "804-744-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11156 HULL STREET RD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231123205",
"telephone_number": "804-744-2211",
"fax_number": "804-744-2773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL WELLNESS 21",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "804-744-2211"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Martin Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.