Lifestyle Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8698 Issued in AZ

Legal business name

LIFESTYLE CHIROPRACTIC LLC

Practice address

3192 N Windsong Dr
Prescott Valley, AZ 86314-2239

Phone

(928) 288-0500

Fax

(928) 432-7003

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Longoria, DC

Title

Chiropractic Physician

Phone

(928) 288-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerome Alexander Longoria, DC

  • Chiropractor
  • Prescott Valley, AZ
  • NPI 1396241394
  Medicare reassignment NPD
• Alexander James Carr, D.C.

  • Chiropractor
  • Prescott, AZ
  • NPI 1356395602
  NPD (past)
• Steve Jerome Gehl, DC

  • Chiropractor
  • Prescott, AZ
  • NPI 1770654469
  NPD (past)
• Mark Edward Miller I, D.C.

  • Chiropractor
  • Prescott, AZ
  • NPI 1770766214
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1003313024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142239",
            "telephone_number": "928-288-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3192 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142239",
            "telephone_number": "928-288-0500",
            "fax_number": "928-432-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "LONGORIA",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "928-288-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Lewis, R.D.
• Life Transformation Recovery
• Life Transformation Recovery
• Life Transformation Recovery
• Lifecare Solutions, Inc.
• Lifestyle Wellness LLC
• Cheryl Ligon
• Lincare Inc.
• Deborah Lindley
• Kaeden Litchfield

• Chiropractor in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.