Active NPI
Life Expressions Health and Wellness Center
- Chiropractor
- Columbia, SC
National Provider Identifier
1023777190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- LIFE EXPRESSIONS HEALTH AND WELLNESS CENTER
- Practice address
- 2638 Two Notch Rd Ste 204
Columbia, SC 29204-1454 - Phone
- (803) 830-2227
- NPI assigned
- Dec 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tawana Naydean Roberson, DC
- Title
- Chiropractor
- Phone
- (803) 354-8281
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2638 Two Notch Rd Ste 204
Columbia, SC 29204-1454
Mailing address
359 Summers Trace Dr
Blythewood, SC 29016-8388
Phone (803) 830-2227
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Columbia, SC
- NPI 1053951475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639526400000",
"number": "1023777190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 SUMMERS TRACE DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290168388",
"telephone_number": "803-830-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2638 TWO NOTCH RD STE 204",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292041454",
"telephone_number": "803-830-2227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE EXPRESSIONS HEALTH AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A",
"authorized_official_last_name": "ROBERSON",
"authorized_official_first_name": "TAWANA",
"authorized_official_middle_name": "NAYDEAN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "803-354-8281",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.