NPIMap

Organization Active NPI

Wellness Center, PC

  • Chiropractor
  • New Buffalo, MI
National Provider Identifier
1992857932
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CS007584 Issued in MI
Legal business name
WELLNESS CENTER, PC
Practice address
1 W Madison Ave
New Buffalo, MI 49117-1734
Phone
(269) 469-1310
Fax
(269) 469-3969
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Dr. Charles Bryan Strother, DCNPI 1447212600
Title
Owner Chiropractor
Phone
(269) 469-1310

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 CS007584 MI Primary

Addresses

Primary practice location

1 W Madison Ave
New Buffalo, MI 49117-1734

Mailing address

1 W Madison Ave
New Buffalo, MI 49117-1734
Phone (269) 469-1310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727000830 MI Part B Supplier - Clinic/Group Practice 8123098381 Receives reassigned benefits from 1 practitioner
Practice locations: New Buffalo, MI

National Provider Directory

National Provider Directory

Locations

9501 Indianapolis Blvd
Ste A
Highland, IN 46322
Phone (219) 595-5529

1 W Madison Ave
New Buffalo, MI 49117
Phone (269) 469-1310

Practitioners & affiliated clinicians

Practitioners 5

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1992857932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MADISON AVE",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491171734",
            "telephone_number": "269-469-1310",
            "fax_number": "269-469-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MADISON AVE",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491171734",
            "telephone_number": "269-469-1310",
            "fax_number": "269-469-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "STROTHER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "269-469-1310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "CS007584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Buffalo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.