Organization Active NPI

Lyell Wellness, Inc

Doing business as Merced Chiropractic

  • Chiropractor
  • Merced, CA
National Provider Identifier
1932459161
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC13566 Issued in CA
Legal business name
LYELL WELLNESS, INC
Doing business as
Merced Chiropractic
Practice address
1180 W Olive Ave Ste I
Merced, CA 95348-1900
Phone
(209) 384-3255
Fax
(209) 384-1810
NPI assigned
Sep 14, 2012
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Dr. Bryant Owens, D.C.
Title
President/Ceo
Phone
(209) 384-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC13566 CA Primary

Addresses

Primary practice location

1180 W Olive Ave Ste I
Merced, CA 95348-1900

Mailing address

1180 W Olive Ave Ste I
Merced, CA 95348-1900
Phone (209) 384-3255

Other names 1

  • Merced Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1180 W Olive Ave
Ste I
Merced, CA 95348
Phone (209) 384-3255

Practitioners & affiliated clinicians

Practitioners 2

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": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1932459161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 W OLIVE AVE STE I",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481900",
            "telephone_number": "209-384-3255",
            "fax_number": "209-384-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W OLIVE AVE STE I",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481900",
            "telephone_number": "209-384-3255",
            "fax_number": "209-384-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYELL WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "209-384-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merced Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.