Organization Active NPI

Live Well Chiropractic LLC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1700307733
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
964038 Issued in AK
Legal business name
LIVE WELL CHIROPRACTIC LLC
Practice address
110 W Tudor Rd Ste D
Anchorage, AK 99503-7247
Phone
(907) 334-6492
Fax
(907) 334-5829
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tory Freeman, DC
Title
Owner
Phone
(907) 344-6492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 964038 AK Primary

Addresses

Primary practice location

110 W Tudor Rd Ste D
Anchorage, AK 99503-7247

Mailing address

110 W Tudor Rd Ste D
Anchorage, AK 99503-7247
Phone (907) 334-6492

National Provider Directory

National Provider Directory

Locations

110 W Tudor Rd
Ste D
Anchorage, AK 99503
Phone (907) 334-6492

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": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700307733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W TUDOR RD STE D",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037247",
            "telephone_number": "907-334-6492",
            "fax_number": "907-334-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W TUDOR RD STE D",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037247",
            "telephone_number": "907-334-6492",
            "fax_number": "907-334-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "TORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-344-6492",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "964038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.