Organization Active NPI

Iron Mountain Wellness Way LLC

Doing business as The Wellness Way Iron Mountain

  • Chiropractor
  • Kingsford, MI
National Provider Identifier
1902647787
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IRON MOUNTAIN WELLNESS WAY LLC
Doing business as
The Wellness Way Iron Mountain
Practice address
601 S Westwood Ave
Kingsford, MI 49802-1111
Phone
(906) 828-1384
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Laura Steber, DCNPI 1467741652
Title
Owner
Phone
(906) 828-1384

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

601 S Westwood Ave
Kingsford, MI 49802-1111

Mailing address

601 S Westwood Ave
Kingsford, MI 49802-1111
Phone (906) 828-1384

Other names 1

  • The Wellness Way Iron Mountain Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627000191 MI Part B Supplier - Clinic/Group Practice 4284178633 Receives reassigned benefits from 2 practitioners
Practice locations: Kingsford, MI

National Provider Directory

National Provider Directory

Locations

601 S Westwood Ave
Kingsford, MI 49802
Phone (906) 779-1880

Practitioners & affiliated clinicians

Practitioners 4

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": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1902647787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S WESTWOOD AVE",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498021111",
            "telephone_number": "906-828-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S WESTWOOD AVE",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498021111",
            "telephone_number": "906-828-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON MOUNTAIN WELLNESS WAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "STEBER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-828-1384",
        "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": [
        {
            "organization_name": "The Wellness Way Iron Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.