Organization Active NPI

Lifetime Spines Adult and Pediatric Chiropractic

  • Chiropractor
  • Austin, TX
National Provider Identifier
1881025500
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11481 Issued in TX
Legal business name
LIFETIME SPINES ADULT AND PEDIATRIC CHIROPRACTIC
Practice address
2100 W William Cannon Dr
Austin, TX 78745-4881
Phone
(512) 291-3735
NPI assigned
Dec 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Dr. Sorayya Toloue
Title
Owner
Phone
(512) 291-3735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11481 TX Primary

Addresses

Primary practice location

2100 W William Cannon Dr
Austin, TX 78745-4881

Mailing address

2100 W William Cannon Dr
Austin, TX 78745-4881

National Provider Directory

National Provider Directory

Locations

2100 W William Cannon Dr
Austin, TX 78745
Phone (512) 291-3735

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1881025500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W WILLIAM CANNON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W WILLIAM CANNON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454881",
            "telephone_number": "512-291-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME SPINES ADULT AND PEDIATRIC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "TOLOUE",
        "authorized_official_first_name": "SORAYYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-291-3735",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.