Organization Active NPI

Active Life Chiropractic LLC

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1639448905
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2011013962 Issued in MO
Legal business name
ACTIVE LIFE CHIROPRACTIC LLC
Practice address
3250 E Battlefield St Ste P
Springfield, MO 65804-4081
Phone
(417) 597-3590
NPI assigned
Dec 15, 2011
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Christina Thomas, DC
Title
Chiropractor/Manager
Phone
(417) 597-3590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2011013962 MO Primary

Addresses

Primary practice location

3250 E Battlefield St Ste P
Springfield, MO 65804-4081

Mailing address

3250 E Battlefield St Ste P
Springfield, MO 65804-4081

National Provider Directory

National Provider Directory

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": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1639448905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 E BATTLEFIELD ST STE P",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 E BATTLEFIELD ST STE P",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044081",
            "telephone_number": "417-597-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CHIROPRACTOR/MANAGER",
        "authorized_official_telephone_number": "417-597-3590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011013962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.