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FUNCTIONAL WELLNESS CENTER LLC
NPI 1689059479
Chiropractor in Scottsdale, AZ

Active since July 22, 2015
7555 E OSBORN RD, STE. 102, SCOTTSDALE, AZ 85251(517) 499-8791 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Functional Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONAL WELLNESS CENTER LLC (NPI 1689059479) is a healthcare organization registered as a chiropractor in Scottsdale, Arizona and active in the NPI registry since July 2015. The organization lists Andrew Lee Kellogg, Owner, as its authorized official.

NPPES Registry Identity

NPI1689059479
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFUNCTIONAL WELLNESS CENTER LLC
Location Address7555 E OSBORN RD, STE. 102Scottsdale, AZ 85251-6434
Mailing Address7555 E Osborn Rd, Ste. 102Scottsdale, AZ 85251-6434 · (517) 499-8791
Phone(517) 499-8791
Organization SubpartNo
Authorized OfficialAndrew Lee KelloggOwner · (517) 499-8791
Enumeration DateJuly 22, 2015
Last NPPES UpdateOctober 15, 2015
✔ NPI 1689059479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in AZ · 8490✔ Licensed in AZ · 8489
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
7555 E OSBORN RD, Scottsdale, AZ 85251
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Other Identifiers 2

Medicare PINMI3687MI
Medicare PINP38500009MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE LICHTSINN M.D.
Pediatrics
7555 E OSBORN RD, SUITE 106
SCOTTSDALE, AZ 85251
Maricopa County (480) 609-8100
DR. ANNE GARRETT M.D.
Pediatrics
7555 E OSBORN RD, SUITE 106
SCOTTSDALE, AZ 85251
Maricopa County (480) 609-8100
MRS. TINA MARIE CHU PA
Physician Assistant
7555 E OSBORN RD, SUITE 104
SCOTTSDALE, AZ 85251
Maricopa County (480) 947-5454
MRS. JENNIFER LYNNE EBERTSHAUSER PA-C, MPH
Physician Assistant
7555 E OSBORN RD, SUITE 104
SCOTTSDALE, AZ 85251
Maricopa County (480) 947-5454
SCOTTSDALE CHILDREN'S GROUP, PLLC
Pediatrics
7555 E OSBORN RD, SUITE 106
SCOTTSDALE, AZ 85251
Maricopa County (480) 609-8100
MR. FOSTER TIMM MCCARTY DO
Family Medicine
7555 E OSBORN RD, SUITE 104
SCOTTSDALE, AZ 85251
Maricopa County (480) 947-5454
MD WELLNESS CENTERS SCOTTSDALE LLC
General Practice
7555 E OSBORN RD, STE 200
SCOTTSDALE, AZ 85251
Maricopa County (480) 436-5151
THEODORE MARK CWYNAR M.D.
Internal Medicine
7555 E OSBORN RD, STE 201
SCOTTSDALE, AZ 85251
Maricopa County (480) 949-7080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functional Wellness Center LLC's NPI number?

The NPI number for Functional Wellness Center LLC is 1689059479. It was assigned to this organization in the NPPES registry on July 22, 2015.

Where is Functional Wellness Center LLC located?

Functional Wellness Center LLC is located at 7555 E Osborn Rd Ste. 102, Scottsdale, AZ 85251. The listed phone number is (517) 499-8791.

What is Functional Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Functional Wellness Center LLC was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.