NPIMap

Organization Active NPI

Livewell Clinic LLC

  • Chiropractor
  • Clive, IA
National Provider Identifier
1487945606
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06816 Issued in IA
Legal business name
LIVEWELL CLINIC LLC
Practice address
2555 Berkshire Pkwy
Suite F
Clive, IA 50325-4646
Phone
(515) 987-6332
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Tammy J Watkins, DCNPI 1285613752
Title
Owner
Phone
(515) 987-6332

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06816 IA Primary

Addresses

Primary practice location

2555 Berkshire Pkwy
Suite F
Clive, IA 50325-4646

Mailing address

2555 Berkshire Pkwy
Suite F
Clive, IA 50325-4646
Phone (515) 987-6332

National Provider Directory

National Provider Directory

Locations

2555 Berkshire Pkwy
Ste F
Clive, IA 50325
Phone (515) 987-6332

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEEBAA

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1487945606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 BERKSHIRE PKWY",
            "address_2": "SUITE F",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254646",
            "telephone_number": "515-987-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 BERKSHIRE PKWY",
            "address_2": "SUITE F",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254646",
            "telephone_number": "515-987-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-987-6332",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.