Organization Active NPI

Life Again Chiropractic PLLC

  • Chiropractor
  • Renton, WA
National Provider Identifier
1467714964
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2544 Issued in WA
Legal business name
LIFE AGAIN CHIROPRACTIC PLLC
Practice address
365 Renton Center Way SW
Ste. F
Renton, WA 98057-2324
Phone
(425) 226-7061
NPI assigned
Jun 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Dr. David Nathan Merrill I, DC
Title
Manager
Phone
(206) 724-1843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2544 WA Primary

Addresses

Primary practice location

365 Renton Center Way SW
Ste. F
Renton, WA 98057-2324

Mailing address

365 Renton Center Way SW
Ste. F
Renton, WA 98057-2324
Phone (425) 226-7061

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1467714964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 RENTON CENTER WAY SW",
            "address_2": "STE. F",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572324",
            "telephone_number": "425-226-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 RENTON CENTER WAY SW",
            "address_2": "STE. F",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572324",
            "telephone_number": "425-226-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE AGAIN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-724-1843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.