Lissenden Chiropractic Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1194 Issued in NC

Legal business name

LISSENDEN CHIROPRACTIC CENTER, PC

Doing business as

'Alternative Health Clinic' and 'SportsMED'

Practice address

4411 High Point Rd
Suite 117
Greensboro, NC 27407-4314

Phone

(336) 218-0094

Fax

(336) 218-7079

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeff W Lissenden, D.C.

Title

Chiropractor

Phone

(336) 218-0094

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• 'Alternative Health Clinic' and 'SportsMED' Doing business as

Practitioners 1

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

• Scott S Dooley, DC

  • Chiropractor
  • Vernon Hills, IL
  • NPI 1093795817
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285711648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 HIGH POINT RD",
            "address_2": "SUITE 117",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074314",
            "telephone_number": "336-218-0094",
            "fax_number": "336-218-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 HIGH POINT RD",
            "address_2": "SUITE 117",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074314",
            "telephone_number": "336-218-0094",
            "fax_number": "336-218-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISSENDEN CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LISSENDEN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "336-218-0094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "085XH",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "609865",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "'Alternative Health Clinic' and 'SportsMED'",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.