Tree of Life Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TREE OF LIFE CHIROPRACTIC LLC

Practice address

16563 Redmond Way
Suite D
Redmond, WA 98052-4464

Phone

(253) 576-3730

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Carl Johan Moe, D.C.

Title

Co-Owner

Phone

(253) 576-3730

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Chelsea Margaret Knapp, D.C.

  • Pediatric Chiropractor
  • Redmond, WA
  • NPI 1609218411
  NPD (past)
• Walter Douglas Scott, D.C.

  • Chiropractor
  • Liberty Hill, TX
  • NPI 1669412110
  NPD (past)

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1063753663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16563 REDMOND WAY",
            "address_2": "SUITE D",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524464",
            "telephone_number": "253-576-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16563 REDMOND WAY",
            "address_2": "SUITE D",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524464",
            "telephone_number": "253-576-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "JOHAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "253-576-3730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER EIN",
            "identifier": "1659611432",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Elaine Trader, MHP, BA, RC
• Christina Tran
• Heather Tran
• Transcend United
• Andrew Bryan Traxler, D.D.S.
• Rachael Treiber, MA, LMHC
• Derek Jason Trlica, MA, RC
• Alison Ingrid Troost, LMHC, SUDP
• David Trotter, ATC
• Karmen M Trzupek, M.S., C.G.C.

• Chiropractor in Redmond, WA
• Providers in Redmond, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.