Complete Wellness Chiropractic Center of Deland LLC
NPI 1134249618ActiveOrganization· Chiropractor, Orthopedic· Deland, FL
Chiropractor, Orthopedic in Deland, Florida, registered in NPPES in March 2007. The authorized official on file is J Randall Timko, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134249618 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2007 |
| Last updated in NPPES | Sep 9, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Orthopedic Primary | 111NX0800X | CH4523 | FL |
| Chiropractor | 111N00000X | CH8909 | FL |
| Chiropractor | 111N00000X | CH10693 | — |
| Physical Therapist | 225100000X | PT16948 | FL |
| Massage Therapist | 225700000X | MA36547 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Chiropractor, Orthopedic providers in Deland
- 1326174673