Active Living Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4218 Issued in OH

Legal business name

ACTIVE LIVING CHIROPRACTIC, LLC

Practice address

453 W Main St
Mount Orab, OH 45154-8600

Phone

(937) 444-6000

NPI assigned

Dec 17, 2012

Last updated

Jan 31, 2013By 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. Lydia D Ogden, D.C.NPI 1679854186

Title

Owner/Chiropractor

Phone

(937) 444-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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.

• Lydia Ogden, D.C.

  • Chiropractor
  • Mount Orab, OH
  • NPI 1679854186
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1780920975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 W MAIN ST",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 W MAIN ST",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548600",
            "telephone_number": "937-444-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIVING CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "937-444-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Abbott
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• Adams County Regional Medical Center (Adams County Regional Medical Center (ACRMC) Family Medicine)
• Jeffrey Scott Adington, HOME HEALTH AID
• Julie Elizabeth Ali
• All About Kids Pediatrics, LLC
• Jordan Dayne Allard, MSN, FNP

• Chiropractor in Mount Orab, OH
• Providers in Mount Orab, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.