Active NPI
Living Water Wellness Center
- Chiropractor
- Redding, CA
National Provider Identifier
1841436102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 30782
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryNPI 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.