Live Simply Chiropractic and Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009239 Issued in MI

Legal business name

LIVE SIMPLY CHIROPRACTIC AND WELLNESS CENTER LLC

Practice address

805 S Van Dyke Rd Ste a
Bad Axe, MI 48413-9604

Phone

(989) 550-4402

Fax

(989) 623-0889

NPI assigned

Apr 25, 2017

Organization subpart

No

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

Authorized official

Name

Sandy Behnke, D.C.NPI 1710178108

Title

Sole Owner/Chiropractor

Phone

(989) 550-4402

Specialties & licenses 1

Addresses

Other names 1

• Live Simply Chiropratic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Sandy Behnke, B.C.,D.C

  • Chiropractor
  • Bad Axe, MI
  • NPI 1710178108
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1750816013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S VAN DYKE RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S VAN DYKE RD STE A",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139604",
            "telephone_number": "989-550-4402",
            "fax_number": "989-623-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE SIMPLY CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "BEHNKE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "SOLE OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "989-550-4402",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Simply Chiropratic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Live Simply Chiropratic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John C Liao, MD
• Jessica Ann Licht, D.D.S.
• Jason Liggett
• Karen Link, M.A. LLPC
• List Psychological Services, PLC
• Sara Loxton
• Michael Felix Lupinski, MA.,CCC-SLP
• Jessica Lyons
• Nancy B Macchiarella, D.O.
• Sami Makhoul, D.C.

• All providers in Bad Axe, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.