Organization Active NPI

Livermore Performance Chiropractic Inc

  • Chiropractor
  • East Lansing, MI
National Provider Identifier
1265735716
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009743 Issued in MI
Legal business name
LIVERMORE PERFORMANCE CHIROPRACTIC INC
Practice address
612 W Lake Lansing Rd
Ste 300
East Lansing, MI 48823-8528
Phone
(517) 853-3797
Fax
(517) 336-7737
NPI assigned
Dec 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. Thomas A Livermore, D.C.
Title
Chiropractor
Phone
(517) 853-3797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009743 MI Primary

Addresses

Primary practice location

612 W Lake Lansing Rd
Ste 300
East Lansing, MI 48823-8528

Mailing address

612 W Lake Lansing Rd
Ste 300
East Lansing, MI 48823-8528
Phone (517) 853-3797

National Provider Directory

National Provider Directory

Locations

612 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 237-2957

612 W Lake Lansing Rd
Ste 300
East Lansing, MI 48823
Phone (517) 336-7711

Practitioners & affiliated clinicians

Practitioners 2

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": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1265735716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W LAKE LANSING RD",
            "address_2": "STE 300",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238528",
            "telephone_number": "517-853-3797",
            "fax_number": "517-336-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W LAKE LANSING RD",
            "address_2": "STE 300",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238528",
            "telephone_number": "517-853-3797",
            "fax_number": "517-336-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERMORE PERFORMANCE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "LIVERMORE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "517-853-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.