NPIMap

Organization Active NPI

Lifelong Health Fmaily Chiropractic

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1508245747
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6085 Issued in MN
Legal business name
LIFELONG HEALTH FMAILY CHIROPRACTIC
Practice address
1121 Jackson St NE
111
Minneapolis, MN 55413-1672
Phone
(612) 354-2213
NPI assigned
May 20, 2015
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Erin Anderson, D.C.
Title
Owner
Phone
(612) 354-2231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6085 MN Primary

Addresses

Primary practice location

1121 Jackson St NE
111
Minneapolis, MN 55413-1672

Mailing address

1121 Jackson St NE
111
Minneapolis, MN 55413-1672
Phone (612) 354-2213

National Provider Directory

National Provider Directory

Locations

1121 Jackson St NE
Ste 111
Minneapolis, MN 55413
Phone (612) 354-2213

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1508245747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JACKSON ST NE",
            "address_2": "111",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131672",
            "telephone_number": "612-354-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JACKSON ST NE",
            "address_2": "111",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131672",
            "telephone_number": "612-354-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG HEALTH FMAILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-354-2231",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.