NPIMap

Organization Active NPI

Living Well Pain Center LLC

  • Chiropractor
  • Bainbridge Island, WA
National Provider Identifier
1104053974
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIVING WELL PAIN CENTER LLC
Practice address
1050 Hildebrand LN NE
Ste-102
Bainbridge Island, WA 98110-2863
Phone
(206) 842-4929
Fax
(206) 842-4920
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Malik B.J. Singh Prihar, D.C.
Title
Owner & Lead Physician
Phone
(206) 842-4929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1050 Hildebrand LN NE
Ste-102
Bainbridge Island, WA 98110-2863

Mailing address

1050 Hildebrand LN NE
Ste-102
Bainbridge Island, WA 98110-2863
Phone (206) 842-4929

National Provider Directory

National Provider Directory

Locations

1050 Hildebrand Ln NE
Ste 102
Bainbridge Island, WA 98110
Phone (206) 842-4929

Practitioners & affiliated clinicians

Practitioners 6

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": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1104053974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 HILDEBRAND LN NE",
            "address_2": "STE-102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102863",
            "telephone_number": "206-842-4929",
            "fax_number": "206-842-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 HILDEBRAND LN NE",
            "address_2": "STE-102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102863",
            "telephone_number": "206-842-4929",
            "fax_number": "206-842-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "PRIHAR",
        "authorized_official_first_name": "MALIK",
        "authorized_official_middle_name": "B.J. SINGH",
        "authorized_official_title_or_position": "OWNER & LEAD PHYSICIAN",
        "authorized_official_telephone_number": "206-842-4929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.