Chiropractic Lifecenter, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034440 Issued in WA

Legal business name

CHIROPRACTIC LIFECENTER, INC.

Practice address

1609 W Garland Ave
Spokane, WA 99205-2620

Phone

(509) 327-3393

Fax

(509) 324-9164

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Charles Dougherty, D.C.

Title

President

Phone

(509) 844-4206

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Derek Rex Hayden, DC

  • Chiropractor
  • College Place, WA
  • NPI 1255460242
  NPD (past)
• Kevin Scott Hendrickson, D.C.

  • Chiropractor
  • Spokane, WA
  • NPI 1194860858
  NPD (past)
• Teresa Louise Miller, DC

  • Chiropractor
  • Walla Walla, WA
  • NPI 1871622860
  NPD (past)
• Karen Ann Sesso, D.C.

  • Chiropractor
  • Spokane, WA
  • NPI 1366462848
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700090362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 W MAXWELL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012916",
            "telephone_number": "509-844-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052620",
            "telephone_number": "509-327-3393",
            "fax_number": "509-324-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC LIFECENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-844-4206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "192951",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Lee Childress, CPC
• Naomi Childs
• Donald A Chilson, MD
• Natalee Sue Chipley
• Chiron'S Key Counseling PLLC
• Sarah D Chisholm, PT
• David George Chittim, LICSW
• Heather Marie Chitwood, MS
• Mary Anna Chiu, M.D.
• Jessica Breanne Chizmar, AS, RN

• Chiropractor in Spokane, WA
• Providers in Spokane, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.