Organization Active NPI

Healthy Life Chiropractic & Wellness, LLC

  • Chiropractor
  • Savage, MN
National Provider Identifier
1235653726
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6261 Issued in MN
Legal business name
HEALTHY LIFE CHIROPRACTIC & WELLNESS, LLC
Practice address
4078 W County Road 42
Savage, MN 55378-2023
Phone
(952) 838-5233
NPI assigned
Jul 27, 2017
Last updated
Feb 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Dr. Neville Lambourne, DC
Title
Chiropractor
Phone
(952) 882-4654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6261 MN Primary

Addresses

Primary practice location

4078 W County Road 42
Savage, MN 55378-2023

Mailing address

2209 River Hills Dr
Burnsville, MN 55337-1170
Phone (952) 838-5233

Other practice location 1

9380 Magnolia Ave
Riverside, CA 92503-3749
Phone (951) 373-5620

Other identifiers 1

IdentifierTypeStateIssuer
1982146502OtherMNNPI

National Provider Directory

National Provider Directory

Locations

9380 Magnolia Ave
Riverside, CA 92503
Phone (951) 373-5620

393 Dunlap St N
Ste LL38
Saint Paul, MN 55104
Phone (651) 354-7797

4078 W County Road 42
Savage, MN 55378
Phone (952) 838-5233

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1235653726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 RIVER HILLS DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371170",
            "telephone_number": "952-838-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4078 W COUNTY ROAD 42",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782023",
            "telephone_number": "952-838-5233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9380 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033749",
            "country_code": "US",
            "telephone_number": "951-373-5620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHY LIFE CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "LAMBOURNE",
        "authorized_official_first_name": "NEVILLE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "952-882-4654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982146502",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.