Organization Active NPI

Livin' Well Family Chiropractic

  • Chiropractor
  • Cheyenne, WY
National Provider Identifier
1780937680
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
721 Issued in WY
Legal business name
LIVIN' WELL FAMILY CHIROPRACTIC
Practice address
5231 Yellowstone Rd
Cheyenne, WY 82009-4736
Phone
(307) 632-3525
Fax
(307) 632-2275
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Marley JB Smith, DCNPI 1396001434
Title
Doctor of Chiropractic
Phone
(307) 632-3525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 721 WY Primary

Addresses

Primary practice location

5231 Yellowstone Rd
Cheyenne, WY 82009-4736

Mailing address

5231 Yellowstone Rd
Cheyenne, WY 82009-4736
Phone (307) 632-3525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130205000261 WY Part B Supplier - Clinic/Group Practice 0244484939 Receives reassigned benefits from 5 practitioners
Practice locations: Cheyenne, WY

National Provider Directory

National Provider Directory

Locations

5231 Yellowstone Rd
Cheyenne, WY 82009
Phone (307) 632-3525

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1780937680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 YELLOWSTONE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094736",
            "telephone_number": "307-632-3525",
            "fax_number": "307-632-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 YELLOWSTONE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094736",
            "telephone_number": "307-632-3525",
            "fax_number": "307-632-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVIN' WELL FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_middle_name": "JB",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "307-632-3525",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.