Children'S Wellness Center, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDREN'S WELLNESS CENTER, LLC

Practice address

2801 Missouri Ave
Ste 9-10
Las Cruces, NM 88011-5075

Phone

(575) 524-4100

Fax

(575) 532-9221

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Timothy HerndonNPI 1164400354

Title

Owner

Phone

(505) 524-4100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy E Herndon, M.D.

  • General Practice Physician
  • Las Cruces, NM
  • NPI 1164400354

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1972609188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE",
            "address_2": "STE 9-10",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115075",
            "telephone_number": "575-532-9077",
            "fax_number": "575-532-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE",
            "address_2": "STE 9-10",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115075",
            "telephone_number": "575-524-4100",
            "fax_number": "575-532-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-524-4100"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adlina S Chiang, RPH., MBA
• Nicola L Chiaradonna, M.D.
• Edgar Andres Chica, MD
• Children'S Dental at Sonoma
• Children'S Dental Clinic of Las Cruces
• Savanna Chino
• Chiropractic Caring for You LLC
• Tamryn Chisholm
• Chiwawa Chiropractic LLC
• Tapiwa R. Chiwawa, D.C.

• Pediatrics Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.