Organization Active NPI

Healthy Living Chiropractic LLC

  • Chiropractor
  • Haslett, MI
National Provider Identifier
1104019629
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009344 Issued in MI
Legal business name
HEALTHY LIVING CHIROPRACTIC LLC
Practice address
2119 Haslett Rd
Suite a
Haslett, MI 48840-8669
Phone
(517) 853-2027
Fax
(517) 853-0832
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Dr. Sylvester Winfred Owusu, D.C.NPI 1952519126
Title
Doctor of Chiropractic
Phone
(517) 853-2027

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 2301009344 MI Primary

Addresses

Primary practice location

2119 Haslett Rd
Suite a
Haslett, MI 48840-8669

Mailing address

2119 Haslett Rd
Suite a
Haslett, MI 48840-8669
Phone (517) 853-2027

Other identifiers 1

IdentifierTypeStateIssuer
950C315720OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2119 Haslett Rd
Ste A
Haslett, MI 48840
Phone (517) 853-2027

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": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1104019629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 HASLETT RD",
            "address_2": "SUITE A",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408669",
            "telephone_number": "517-853-2027",
            "fax_number": "517-853-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 HASLETT RD",
            "address_2": "SUITE A",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408669",
            "telephone_number": "517-853-2027",
            "fax_number": "517-853-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "WINFRED",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "517-853-2027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950C315720",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.