Organization Active NPI

Connected Life Chiropractic

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1114529682
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CONNECTED LIFE CHIROPRACTIC
Practice address
2616 Covell Village Dr Ste 120
Edmond, OK 73003-9703
Phone
(405) 920-6440
Fax
(405) 920-6446
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Dr. Lisa Urrutia, DCNPI 1487661773
Title
Owner
Phone
(406) 920-6440

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 Primary

Addresses

Primary practice location

2616 Covell Village Dr Ste 120
Edmond, OK 73003-9703

Mailing address

2616 Covell Village Dr Ste 120
Edmond, OK 73003-9703
Phone (405) 920-6440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1114529682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 COVELL VILLAGE DR STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730039703",
            "telephone_number": "405-920-6440",
            "fax_number": "405-920-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 COVELL VILLAGE DR STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730039703",
            "telephone_number": "405-920-6440",
            "fax_number": "405-920-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "URRUTIA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-920-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.