Organization Active NPI

Living Water Wellness Center

  • Chiropractor
  • Redding, CA
National Provider Identifier
1841436102
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30782 Issued in CA
Legal business name
LIVING WATER WELLNESS CENTER
Practice address
3051 Victor Ave
Redding, CA 96002-1450
Phone
(530) 440-1551
Fax
(530) 852-0867
NPI assigned
Dec 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Brett Alexander Smith, D.C.
Title
Owner
Phone
(530) 440-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 30782 CA Primary

Addresses

Primary practice location

3051 Victor Ave
Redding, CA 96002-1450

Mailing address

PO Box 992063
Redding, CA 96099-2063
Phone (530) 440-1551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1841436102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 992063",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960992063",
            "telephone_number": "530-440-1551",
            "fax_number": "530-852-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021450",
            "telephone_number": "530-440-1551",
            "fax_number": "530-852-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-440-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.