Organization Active NPI

Living Well Chiropractic PLC

  • Chiropractor
  • Titusville, FL
National Provider Identifier
1245399435
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8896 Issued in FL
Legal business name
LIVING WELL CHIROPRACTIC PLC
Practice address
1135 S Washington Ave Ste B
Titusville, FL 32780-8401
Phone
(321) 408-0440
Fax
(321) 577-0200
NPI assigned
Dec 6, 2006
Last updated
Nov 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Dr. Dayne Deeds, DCNPI 1891765988
Title
Manager
Phone
(321) 408-0440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8896 FL Primary

Addresses

Primary practice location

1135 S Washington Ave Ste B
Titusville, FL 32780-8401

Mailing address

1135 S Washington Ave Ste B
Titusville, FL 32780-8401
Phone (321) 408-0440

Other identifiers 1

IdentifierTypeStateIssuer
1891765988OtherFLINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

1135 S Washington Ave
Ste B
Titusville, FL 32780
Phone (321) 408-0440

1901 Knox McRae Dr
Titusville, FL 32780
Phone (321) 267-9399

2708 Garden St
Titusville, FL 32796
Phone (321) 267-4324

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1245399435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S WASHINGTON AVE STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327808401",
            "telephone_number": "321-408-0440",
            "fax_number": "321-577-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S WASHINGTON AVE STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327808401",
            "telephone_number": "321-408-0440",
            "fax_number": "321-577-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "DEEDS",
        "authorized_official_first_name": "DAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-408-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1891765988",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.