Organization Active NPI

La Vie Chiropractique

  • Sports Physician Chiropractor
  • Birmingham, AL
National Provider Identifier
1629589718
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2053 Issued in AL
Legal business name
LA VIE CHIROPRACTIQUE
Doing business as
La Vie Chiropractique
Practice address
972 Montclair Rd
Birmingham, AL 35213-1204
Phone
(205) 957-5445
Fax
(205) 957-5501
NPI assigned
Oct 17, 2017
Last updated
Jul 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Dr. Tajuan Woody, DCNPI 1528280609
Title
Chiropractor
Phone
(205) 957-5445

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
Sports Physician Chiropractor 111NS0005X 2053 AL Primary

Addresses

Primary practice location

972 Montclair Rd
Birmingham, AL 35213-1204

Mailing address

972 Montclair Rd
Birmingham, AL 35213-1204
Phone (205) 957-5445

Other identifiers 1

IdentifierTypeStateIssuer
1528280609OtherALNPI

Other names 1

  • La Vie Chiropractique Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426001467 AL Part B Supplier - Clinic/Group Practice 6406843283 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

4500 Montevallo Rd
Ste B101
Irondale, AL 35210
Phone (205) 874-9184

Practitioners & affiliated clinicians

Practitioners 5

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": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1629589718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 MONTCLAIR RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131204",
            "telephone_number": "205-957-5445",
            "fax_number": "205-957-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 MONTCLAIR RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131204",
            "telephone_number": "205-957-5445",
            "fax_number": "205-957-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VIE CHIROPRACTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "TAJUAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "205-957-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AL",
            "license": "2053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528280609",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Vie Chiropractique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Vie Chiropractique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.