Active NPI
New Life Chiropractic LLC
- Chiropractor
- Mount Vernon, OH
National Provider Identifier
1437698479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4651
- Legal business name
- NEW LIFE CHIROPRACTIC LLC
- Practice address
- 14580 Wooster Rd
Mount Vernon, OH 43050-9774 - Phone
- (740) 399-3602
- NPI assigned
- Feb 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Devin Jo Daniels, DC
- Title
- Owner
- Phone
- (740) 399-3602
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4651 | OH | Primary |
Addresses
Primary practice location
14580 Wooster Rd
Mount Vernon, OH 43050-9774
Mailing address
14580 Wooster Rd
Mount Vernon, OH 43050-9774
Phone (740) 399-3602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14580 Wooster Rd
Mount Vernon, OH 43050
Phone (740) 399-3602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Mount Vernon, OH
- NPI 1043677487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487721600000",
"number": "1437698479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14580 WOOSTER RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430509774",
"telephone_number": "740-399-3602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14580 WOOSTER RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430509774",
"telephone_number": "740-399-3602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "DEVIN",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-399-3602",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OH",
"license": "4651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.