Express Your Health LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008424 Issued in MI

Legal business name

EXPRESS YOUR HEALTH LLC

Practice address

8175 Creekside Dr Ste 110
Portage, MI 49024-5370

Phone

(269) 324-5000

Fax

(269) 324-5822

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leighia M Wells, D.C.NPI 1679681712

Title

Chiropractor/Owner

Phone

(269) 324-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Leighia M Wells, D.C.

  • Chiropractor
  • Portage, MI
  • NPI 1679681712
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Renee Gotham, DC

  • Chiropractor
  • Portage, MI
  • NPI 1972293215
  Medicare reassignment Care Compare group NPD
• Danielle Abitz Clark, DC

  • Chiropractor
  • Kalamazoo, MI
  • NPI 1578169181
  NPD

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1295925295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 CREEKSIDE DR STE 110",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245370",
            "telephone_number": "269-324-5000",
            "fax_number": "269-324-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 CREEKSIDE DR STE 110",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245370",
            "telephone_number": "269-324-5000",
            "fax_number": "269-324-5822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 S 12th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490243831",
            "country_code": "US",
            "telephone_number": "269-324-5000",
            "fax_number": "269-324-5822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXPRESS YOUR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "LEIGHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "269-324-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MI",
            "identifier": "950C913900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Portage, MI
• Providers in Portage, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.