Active Life Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACTIVE LIFE CHIROPRACTIC

Practice address

9370 S Colorado Blvd
#A-10
Highlands Ranch, CO 80126-5205

Phone

(303) 471-9355

Fax

(720) 306-8987

NPI assigned

Oct 3, 2012

Last updated

Oct 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alesha Kay Willis, DCNPI 1801186358

Title

Manager

Phone

(404) 790-5664

Specialties & licenses 1

Addresses

Locations

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.

• Alesha K. Willis, DC

  • Chiropractor
  • Highlands Ranch, CO
  • NPI 1801186358
  NPD (past) Authorized official

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1740532597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630821",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801630821",
            "telephone_number": "404-790-5664",
            "fax_number": "720-306-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 S COLORADO BLVD",
            "address_2": "#A-10",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265205",
            "telephone_number": "303-471-9355",
            "fax_number": "720-306-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "ALESHA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-790-5664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.