Organization Active NPI

Back in Harmony Chiropractic and Wellness Center, LLC

  • Chiropractor
  • Davie, FL
National Provider Identifier
1912488628
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9335 Issued in FL
Legal business name
BACK IN HARMONY CHIROPRACTIC AND WELLNESS CENTER, LLC
Practice address
6115 Stirling Rd Ste 205
Davie, FL 33314-7239
Phone
(954) 604-5384
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Wei Sheen ChongNPI 1649301664
Title
Owner
Phone
(954) 604-5384

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 CH9335 FL Primary

Addresses

Primary practice location

6115 Stirling Rd Ste 205
Davie, FL 33314-7239

Mailing address

6115 Stirling Rd Ste 205
Davie, FL 33314-7239
Phone (954) 604-5384

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190308001149 FL Part B Supplier - Clinic/Group Practice 5597004531 Receives reassigned benefits from 1 practitioner
Practice locations: Davie, FL

National Provider Directory

National Provider Directory

Locations

6115 Stirling Rd
Ste 205
Davie, FL 33314
Phone (954) 604-5384

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": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1912488628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 STIRLING RD STE 205",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147239",
            "telephone_number": "954-604-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 STIRLING RD STE 205",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147239",
            "telephone_number": "954-604-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN HARMONY CHIROPRACTIC AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "WEI SHEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-604-5384"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.