Live Healthy PA

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

43602 Issued in MN

Legal business name

LIVE HEALTHY PA

Practice address

7300 147TH St W
Unit 304
Apple Valley, MN 55124-7541

Phone

(952) 431-5330

Fax

(651) 528-6882

NPI assigned

Sep 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Paul Massoglia Sr., DC

Title

President

Phone

(651) 334-1290

Specialties & licenses 4

Addresses

Practitioners 2

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

• Nathaniel Saul Samuelson, DC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1689965527
  NPD (past)
• Cindy Marie Silbernagel, D.C.

  • Chiropractor
  • Apple Valley, MN
  • NPI 1003907668
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1750759072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W",
            "address_2": "UNIT 304",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247541",
            "telephone_number": "952-431-5330",
            "fax_number": "651-528-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W",
            "address_2": "UNIT 304",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247541",
            "telephone_number": "952-431-5330",
            "fax_number": "651-528-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE HEALTHY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "MASSOGLIA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-334-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2728",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "2728",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MN",
            "license": "43602",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MN",
            "license": "43602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen J Lietzau, APCNS
• Lifespan Chiropractic PA
• Lifeway Chiropractic and Wellness LLC
• Limitless Minds Center
• Lisa J Lindner
• Lobash Chiropractic Clinic PLLC
• Adam J Locketz, M.D.
• Mary Jane Loken, M.D.
• Beverly J Lokensgard
• Frank M Lombardo, DDS

• Adult Medicine Physician in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Adult Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.