Organization Active NPI

New Life Chiropractic PLLC

  • Chiropractor
  • Lambertville, MI
National Provider Identifier
1033458484
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
RL008519 Issued in MI
Legal business name
NEW LIFE CHIROPRACTIC PLLC
Practice address
7490 Secor Rd
Lambertville, MI 48144-9607
Phone
(734) 856-3400
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Dr. Reyna Lajiness, D.C.NPI 1578611927
Title
Owner
Phone
(734) 856-3400

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X RL008519 MI Primary

Addresses

Primary practice location

7490 Secor Rd
Lambertville, MI 48144-9607

Mailing address

7490 Secor Rd
Lambertville, MI 48144-9607
Phone (734) 856-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140813002255 MI Part B Supplier - Clinic/Group Practice 3779700869 Receives reassigned benefits from 1 practitioner
Practice locations: Lambertville, MI

National Provider Directory

National Provider Directory

Locations

3309 Quail Hollow Dr
Ste A
Lambertville, MI 48144
Phone (734) 854-5441

7490 Secor Rd
Lambertville, MI 48144
Phone (734) 856-3400

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1033458484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449607",
            "telephone_number": "734-856-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449607",
            "telephone_number": "734-856-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "LAJINESS",
        "authorized_official_first_name": "REYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-856-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "RL008519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lambertville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.