Longevity Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1414 Issued in ID

Legal business name

LONGEVITY CHIROPRACTIC PLLC

Practice address

761 N Thornton St
Suite a
Post Falls, ID 83854-6105

Phone

(208) 777-7701

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brett E Davis, D.C.

Title

Owner

Phone

(208) 777-7701

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeremy J. Gauruder, D.C.

  • Chiropractor
  • Post Falls, ID
  • NPI 1376749044
  NPD (past)

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1093025330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 N THORNTON ST",
            "address_2": "SUITE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546105",
            "telephone_number": "208-777-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 N THORNTON ST",
            "address_2": "SUITE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546105",
            "telephone_number": "208-777-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-777-7701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Diane Livesey, LMT
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• Christine Livingston
• Loftus Family Dental - Post Falls
• Elizabeth Ann Lopez, FNP-C
• Jorge Lopez, PHD, CRC, LPC,NCC
• Lori-Ann Bluemer MPT PA
• Rebecca E Luebbert, PA-C, MSPAS, BSRT(R)
• Lumora Mindfulness & Consulting PLL C

• Chiropractor in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.