Organization Active NPI

L.I.V.N. Chiropractic & Wellness

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1689927428
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3994 Issued in NC
Legal business name
L.I.V.N. CHIROPRACTIC & WELLNESS
Practice address
925 S Kerr Ave
Suite E
Wilmington, NC 28403-4335
Phone
(910) 338-3691
Fax
(910) 338-3691
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Dr. Anesha Smith, D.C.NPI 1356677652
Title
Chiropractor/Manager
Phone
(910) 338-3691

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3994 NC Primary

Addresses

Primary practice location

925 S Kerr Ave
Suite E
Wilmington, NC 28403-4335

Mailing address

925 S Kerr Ave
Suite E
Wilmington, NC 28403-4335
Phone (910) 338-3691

National Provider Directory

National Provider Directory

Locations

925 S Kerr Ave
Ste E
Wilmington, NC 28403
Phone (910) 338-3691

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1689927428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S KERR AVE",
            "address_2": "SUITE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034335",
            "telephone_number": "910-338-3691",
            "fax_number": "910-338-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S KERR AVE",
            "address_2": "SUITE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034335",
            "telephone_number": "910-338-3691",
            "fax_number": "910-338-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.I.V.N. CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANESHA",
        "authorized_official_title_or_position": "CHIROPRACTOR/MANAGER",
        "authorized_official_telephone_number": "910-338-3691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.