Active NPI
Living Well Chiropractic, P.C.
- Chiropractor
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4513
- Legal business name
- LIVING WELL CHIROPRACTIC, P.C.
- Practice address
- 3140 Harbor LN N
Suite #102
Plymouth, MN 55447-5126 - Phone
- (763) 230-7333
- Fax
- (763) 230-7335
- NPI assigned
- Dec 15, 2010
- Last updated
- Dec 15, 2010
- 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
- Dr. Jeffrey C Leach, D.C.
- Title
- Chiropractor
- Phone
- (763) 230-7333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4513 | MN | Primary |
Addresses
Primary practice location
3140 Harbor LN N
Suite #102
Plymouth, MN 55447-5126
Mailing address
3140 Harbor Lane N.
Suite #102
Plymouth, MN 55447-5118
Phone (763) 230-7333
National Provider Directory
National Provider DirectoryLocations
3140 Harbor Ln N
Ste 102
Plymouth, MN 55447
Phone (763) 230-7333
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Plymouth, MN
- NPI 1477504843
-
- Chiropractor
- Plymouth, MN
- NPI 1356813588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292371200000",
"number": "1598068439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 HARBOR LANE N.",
"address_2": "SUITE #102",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475118",
"telephone_number": "763-230-7333",
"fax_number": "763-230-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 HARBOR LN N",
"address_2": "SUITE #102",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475126",
"telephone_number": "763-230-7333",
"fax_number": "763-230-7335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING WELL CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-15",
"last_updated": "2010-12-15",
"status": "A",
"authorized_official_last_name": "LEACH",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "763-230-7333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "4513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.