Come Alive Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1489 Issued in OH

Legal business name

COME ALIVE CHIROPRACTIC LLC

Practice address

358 Bexley CT
Mason, OH 45040-2215

Phone

(513) 258-1227

NPI assigned

Jun 24, 2013

Last updated

Jun 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Gregory Washam Jr., DC

Title

Part Owner

Phone

(513) 258-1227

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1023457066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 BEXLEY CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402215",
            "telephone_number": "513-258-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 BEXLEY CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402215",
            "telephone_number": "513-258-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COME ALIVE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "WASHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "513-258-1227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075899",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mason, OH
• Providers in Mason, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.