Way of Life Health & Wellness Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008198 Issued in MI

Legal business name

WAY OF LIFE HEALTH & WELLNESS CENTER, PLLC

Practice address

3355 Union Lake Rd
Commerce Township, MI 48382-4551

Phone

(248) 242-2123

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Larissa A McMahon, D.CNPI 1295843571

Title

Owner

Phone

(248) 310-1101

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Larissa Alexandra McMahon, D.C.

  • Chiropractor
  • Commerce Township, MI
  • NPI 1295843571
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1235211426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 UNION LAKE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824551",
            "telephone_number": "248-242-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 UNION LAKE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824551",
            "telephone_number": "248-242-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY OF LIFE HEALTH & WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-310-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950F39764",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LM008198",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Walker, RN
• Ayanna Walker
• Stephanie Elayne Walker, OTR/L
• Casey Wallace
• Nancy Z Walter, M.D.
• John Daniel Webber, MD
• Michael Ryan Wehby, AU.D.
• West Pointe Dental P.C.
• Alegra Sylvia Christine Westphalen, LP
• William C. Easton D.C. P.C.

• Chiropractor in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.