Organization Active NPI

Holistic Health and Wellness PC

  • Chiropractor
  • King of Prussia, PA
National Provider Identifier
1972728004
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HOLISTIC HEALTH AND WELLNESS PC
Doing business as
chiropractic and holistic wellness pc
Practice address
645 Clark Ave
645
King of Prussia, PA 19406-1429
Phone
(610) 265-2522
Fax
(610) 265-3506
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joan Lee Rutenberg, D.C.
Title
Owner
Phone
(610) 265-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

645 Clark Ave
645
King of Prussia, PA 19406-1429

Mailing address

645 Clark Ave
King of Prussia, PA 19406-1429
Phone (610) 265-2522

Other names 1

  • chiropractic and holistic wellness pc Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972728004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 CLARK AVE",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061429",
            "telephone_number": "610-265-2522",
            "fax_number": "610-265-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 CLARK AVE",
            "address_2": "645",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061429",
            "telephone_number": "610-265-2522",
            "fax_number": "610-265-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUTENBERG",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-265-2522",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chiropractic and holistic wellness pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.