Lifeclinic Chiropractic of Nevada LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LIFECLINIC CHIROPRACTIC OF NEVADA LLC

Practice address

121 Carnegie Street
Henderson, NV 89052-7118

Phone

(952) 229-7558

NPI assigned

Mar 29, 2013

Organization subpart

No

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

Authorized official

Name

Reza Pour Alizadeh, DCNPI 1538214598

Title

Owner

Phone

(651) 690-0866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

Lifeclinic Chiropractic of Nevada LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lifeclinic Chiropractic of Nevada LLC

  • Chiropractor
  • Henderson, NV
  • NPI 1083955546
  NPD tax ID

Locations

Practitioners 2

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

• James Andrew Lefever, D.C.

  • Chiropractor
  • Las Vegas, NV
  • NPI 1699911610
  Medicare reassignment
• Reza Pour Alizadeh, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1538214598
  NPD (past) Authorized official

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1861735755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 549",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553170549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CARNEGIE STREET",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890527118",
            "telephone_number": "952-229-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECLINIC CHIROPRACTIC OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "POUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-690-0866",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Lien-Salmeron
• Life Breakthrough
• Life Change Therapy
• Life Improvement Medical Supply LLC
• Lifeclinic Chiropractic of Nevada LLC
• Lifes Challenges a Mental Health Consultant Firm
• Lifeskills Therapy LLC
• Lifespan Behavioral Health Nevada PC
• Lifespan Behavioral Health Nevada PC
• Lifestyle Overhaul, LLC

• Chiropractor in Henderson, NV
• Providers in Henderson, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.