NPIMap

Organization Active NPI

Natural Living Chiropractic LLC

  • Pediatric Chiropractor
  • Savage, MN
National Provider Identifier
1619272630
Registry record updated Jan 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
5249 Issued in MN
Legal business name
NATURAL LIVING CHIROPRACTIC LLC
Practice address
4827 W 123Rd St
Savage, MN 55378-1364
Phone
(612) 208-7421
NPI assigned
Jan 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2011

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

Authorized official

Name
Dr. Amber Noelle Trice, D.C., CACCPNPI 1447555461
Title
Doctor of Chiropractic
Phone
(612) 208-7421

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
Pediatric ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NP0017X 5249 MN Primary

Addresses

Primary practice location

4827 W 123Rd St
Savage, MN 55378-1364

Mailing address

4827 W 123Rd St
Savage, MN 55378-1364
Phone (612) 208-7421

National Provider Directory

National Provider Directory

Locations

4827 W 123rd St
Savage, MN 55378
Phone (612) 208-7421

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": "1295654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295654400000",
    "number": "1619272630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4827 W 123RD ST",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781364",
            "telephone_number": "612-208-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4827 W 123RD ST",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781364",
            "telephone_number": "612-208-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL LIVING CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-22",
        "last_updated": "2011-01-22",
        "status": "A",
        "authorized_official_last_name": "TRICE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "612-208-7421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., CACCP"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MN",
            "license": "5249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.