Life Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

404 Issued in AK

Legal business name

LIFE FAMILY CHIROPRACTIC, LLC

Practice address

2650 E Broadview Ave
Suite Z
Wasilla, AK 99654-8302

Phone

(907) 373-4325

Fax

(907) 376-7440

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stacey Renee Lowe, D.C.NPI 1871623959

Title

President

Phone

(907) 373-4325

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 1

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

• Stacey Renee Lowe, DC

  • Chiropractor
  • Wasilla, AK
  • NPI 1871623959
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1396906293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 E BROADVIEW AVE",
            "address_2": "SUITE Z",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548302",
            "telephone_number": "907-373-4325",
            "fax_number": "907-376-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 E BROADVIEW AVE",
            "address_2": "SUITE Z",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548302",
            "telephone_number": "907-373-4325",
            "fax_number": "907-376-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-373-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0404",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine M Lewis
• Molly Ellen Lewis
• Patricia Lewis
• Antiqua Lisha Libbey, M.A.
• Leonard Roger Liebner, M.S., M.ED
• Lifetouch Massage and Wellness, LTD
• Daniel Paul Light, LPC
• Lighted Path Therapy Services
• Lighthouse Family Medicine Inc
• Lighthouse Family Medicine, Inc

• Chiropractor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.