Individual provider Active NPI

Thomas A Livermore, D.C.

  • Chiropractor
  • East Lansing, MI
National Provider Identifier
1689901779
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009743 Issued in MI
Practice address
612 W Lake Lansing Rd
Ste 300
East Lansing, MI 48823-8528
Phone
(517) 853-3797
Fax
(517) 336-7737
NPI assigned
Nov 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009743 MI Primary

Addresses

Primary practice location

612 W Lake Lansing Rd
Ste 300
East Lansing, MI 48823-8528

Mailing address

612 W Lake Lansing Rd
Ste 300
East Lansing, MI 48823-8528
Phone (517) 853-3797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Unlimited, PLLC Chiropractor PastSince Feb 8, 2014 Accepting new patients
Limonoff Chiropractic Clinics Inc. Chiropractor Past Accepting new patients
Wellness Revolution Chiropractic & Acupuncture Center Chiropractor PastSince Nov 2, 2004 Accepting new patients
Wellness Revolution Lakeview LLC Chiropractor Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1689901779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W LAKE LANSING RD",
            "address_2": "STE 300",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238528",
            "telephone_number": "517-853-3797",
            "fax_number": "517-336-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W LAKE LANSING RD",
            "address_2": "STE 300",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238528",
            "telephone_number": "517-853-3797",
            "fax_number": "517-336-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVERMORE",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-10",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.