100 A Chiropractic Wellness Center North LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6324 Issued in CO

Legal business name

100 A CHIROPRACTIC WELLNESS CENTER NORTH LLC

Practice address

1720 Jet Stream Dr
Suite 115
Colorado Springs, CO 80921-3938

Phone

(719) 867-3007

Fax

(719) 867-3000

NPI assigned

Feb 4, 2011

Last updated

Jun 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Livingood, D.C.

Title

Owner

Phone

(718) 867-3007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1134425325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 JET STREAM DR",
            "address_2": "SUITE 115",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213938",
            "telephone_number": "719-867-3007",
            "fax_number": "719-867-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 JET STREAM DR",
            "address_2": "SUITE 115",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213938",
            "telephone_number": "719-867-3007",
            "fax_number": "719-867-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 A CHIROPRACTIC WELLNESS CENTER NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "LIVINGOOD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-867-3007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 021808 LLC (Liberty Dialysis - Colorado Springs South)
• 1 Above the Rest
• 1 For All Home Healthcare
• 1 For All Home Healthcare
• 10 MDG
• 100 Percent Chiropractic Colorado Springs Four, LLC
• 100 Percent Chiropractic Colorado Springs Six, LLC
• 100 Percent Chiropractic Ramirez LLC
• 119 Solutions-Upshot ABA
• 1918 Winter Street Operating Co LLC (Safeway Pharmacy #0803)

• Chiropractor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.