Chiropractic & Holistic Lifestyles, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001147A Issued in IN

Legal business name

CHIROPRACTIC & HOLISTIC LIFESTYLES, INC.

Practice address

10620 Corporate Dr Ste D
Fort Wayne, IN 46845-1711

Phone

(260) 496-8555

Fax

(260) 496-8488

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Miss Elizabeth A Aldape, D.C.NPI 1508926494

Title

President

Phone

(260) 496-8555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Elizabeth A Aldape, D.C.

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1508926494
  NPD (past) Authorized official
• Gary Michael Washington, DC

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1427171701
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407973803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 CORPORATE DR STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451711",
            "telephone_number": "260-496-8555",
            "fax_number": "260-496-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 CORPORATE DR STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451711",
            "telephone_number": "260-496-8555",
            "fax_number": "260-496-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC & HOLISTIC LIFESTYLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALDAPE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-496-8555",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001147A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000246820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Chiropractor in Indiana

• 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.