Organization Active NPI

Innovative Family Wellness LLC

  • Chiropractor
  • Wexford, PA
National Provider Identifier
1902252638
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009362 Issued in PA
Legal business name
INNOVATIVE FAMILY WELLNESS LLC
Practice address
110 Vip Dr
Suite 202
Wexford, PA 15090-6923
Phone
(877) 533-9993
Fax
(412) 532-3753
NPI assigned
May 12, 2016
Last updated
May 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Noah Christopher Erickson, DCNPI 1679548838
Title
President
Phone
(877) 533-9993

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
Chiropractor 111N00000X DC009362 PA Primary

Addresses

Primary practice location

110 Vip Dr
Suite 202
Wexford, PA 15090-6923

Mailing address

110 Vip Dr
Suite 202
Wexford, PA 15090-6923
Phone (877) 533-9993

National Provider Directory

National Provider Directory

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": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1902252638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VIP DR",
            "address_2": "SUITE 202",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906923",
            "telephone_number": "877-533-9993",
            "fax_number": "412-532-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VIP DR",
            "address_2": "SUITE 202",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906923",
            "telephone_number": "877-533-9993",
            "fax_number": "412-532-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE FAMILY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-533-9993",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.