Life Chiropractic Clinics Inc.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

S03493 Issued in MD

Legal business name

LIFE CHIROPRACTIC CLINICS INC.

Practice address

10800 Lockwood Dr
Suite 204
Silver Spring, MD 20901-1554

Phone

(301) 576-4023

Fax

(301) 576-6477

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. William M Fullmer, D.C.NPI 1053418715

Title

Owner

Phone

(301) 576-4023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• William M.K. Fullmer, D.C.

  • Chiropractor
  • Silver Spring, MD
  • NPI 1053418715

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1750667945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 LOCKWOOD DR",
            "address_2": "SUITE 204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011554",
            "telephone_number": "301-576-4023",
            "fax_number": "301-576-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 LOCKWOOD DR",
            "address_2": "SUITE 204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011554",
            "telephone_number": "301-576-4023",
            "fax_number": "301-576-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHIROPRACTIC CLINICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "FULLMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-576-4023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S03493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Lieberman-Lapan
• Eric Bruce Lieberman, M.D.
• Gary A Lieberman, D.P.M.
• David Evans Liebeskind, D.D.S.
• Life Bridge Health
• Life Chiropractic of Silver Spring
• Life Counseling Services LLC
• Life Is Simple, LLC
• Lifelong Wellness
• Lifespan and Wellness

• Rehabilitation Chiropractor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Rehabilitation Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.