Organization Active NPI

Wynne, LLC

Doing business as Wynne Chiropractic & Wellness

  • Chiropractor
  • Ipswich, MA
National Provider Identifier
1871283903
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WYNNE, LLC
Doing business as
Wynne Chiropractic & Wellness
Practice address
1 Topsfield Rd Unit a
Ipswich, MA 01938-2131
Phone
(978) 336-2063
Fax
(978) 336-0344
NPI assigned
May 11, 2023
Last updated
Jun 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Dr. James W Hall, DCNPI 1427503499
Title
Owner/Chiropractor
Phone
(978) 312-2063

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1 Topsfield Rd Unit a
Ipswich, MA 01938-2131

Mailing address

1 Topsfield Rd Unit a
Ipswich, MA 01938-2131
Phone (978) 312-2063

Other names 1

  • Wynne Chiropractic & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240102001824 MA Part B Supplier - Clinic/Group Practice 8527418672 Receives reassigned benefits from 1 practitioner
Practice locations: Ipswich, MA

National Provider Directory

National Provider Directory

Locations

1 Topsfield Rd
Ipswich, MA 01938

1 Topsfield Rd
Unit A
Ipswich, MA 01938
Phone (508) 274-9772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1871283903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TOPSFIELD RD UNIT A",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382131",
            "telephone_number": "978-312-2063",
            "fax_number": "978-336-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TOPSFIELD RD UNIT A",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382131",
            "telephone_number": "978-336-2063",
            "fax_number": "978-336-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "978-312-2063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wynne Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ipswich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.