Organization Active NPI

Healthy Living Chiropractic Center, P.C.

  • Chiropractor
  • White Lake, MI
National Provider Identifier
1467624726
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008399 Issued in MI
Legal business name
HEALTHY LIVING CHIROPRACTIC CENTER, P.C.
Practice address
10739 Highland Rd
White Lake, MI 48386-2148
Phone
(248) 698-9141
Fax
(248) 779-7737
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Amie Suzanne Larison, D.C.
Title
Owner
Phone
(248) 698-9141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008399 MI Primary

Addresses

Primary practice location

10739 Highland Rd
White Lake, MI 48386-2148

Mailing address

10739 Highland Rd
White Lake, MI 48386-2148
Phone (248) 698-9141

Other identifiers 1

IdentifierTypeStateIssuer
950F355460OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

10735 Highland Rd
White Lake, MI 48386
Phone (248) 698-9141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1467624726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10739 HIGHLAND RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483862148",
            "telephone_number": "248-698-9141",
            "fax_number": "248-779-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10739 HIGHLAND RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483862148",
            "telephone_number": "248-698-9141",
            "fax_number": "248-779-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "LARISON",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-698-9141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950F355460",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.