Organization Active NPI

Innate Life LLC

  • Chiropractor
  • Moore, OK
National Provider Identifier
1831602630
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4227 Issued in OK
Legal business name
INNATE LIFE LLC
Doing business as
Living Roots Chiropractic
Practice address
101 Sutton Cir
Moore, OK 73160-4602
Phone
(405) 799-2300
Fax
(405) 799-2360
NPI assigned
Nov 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Dr. Briana Windham, DC
Title
Chiropractor/Owner
Phone
(405) 799-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4227 OK Primary

Addresses

Primary practice location

101 Sutton Cir
Moore, OK 73160-4602

Mailing address

101 Sutton Cir
Moore, OK 73160-4602
Phone (405) 799-2300

Other names 1

  • Living Roots Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2300 N Broadway St
Moore, OK 73160
Phone (405) 799-2300

101 Sutton Cir
Moore, OK 73160
Phone (405) 799-2300

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1831602630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUTTON CIR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604602",
            "telephone_number": "405-799-2300",
            "fax_number": "405-799-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SUTTON CIR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604602",
            "telephone_number": "405-799-2300",
            "fax_number": "405-799-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "WINDHAM",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "405-799-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Roots Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.