Organization Active NPI

Wunder Chiropractic Life Center, LLC

  • Chiropractor
  • Flemington, NJ
National Provider Identifier
1992991749
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00477300 Issued in NJ
Legal business name
WUNDER CHIROPRACTIC LIFE CENTER, LLC
Practice address
8 Main St
Flemington, NJ 08822-1468
Phone
(908) 788-1714
Fax
(908) 788-0885
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Dr. David J. Wunder, DCNPI 1750453692
Title
Chiropractor
Phone
(908) 265-2346

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 38MC00477300 NJ Primary

Addresses

Primary practice location

8 Main St
Flemington, NJ 08822-1468

Mailing address

8 Main St
Flemington, NJ 08822-1468
Phone (908) 788-1714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081015000772 NJ Part B Supplier - Clinic/Group Practice 6204994585 Receives reassigned benefits from 1 practitioner
Practice locations: Flemington, NJ

National Provider Directory

National Provider Directory

Locations

1 Highway 12
Ste 303
Flemington, NJ 08822
Phone (908) 788-1714

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": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1992991749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MAIN ST",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221468",
            "telephone_number": "908-788-1714",
            "fax_number": "908-788-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MAIN ST",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221468",
            "telephone_number": "908-788-1714",
            "fax_number": "908-788-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WUNDER CHIROPRACTIC LIFE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "WUNDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "908-265-2346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00477300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.