Living Well Chiropractic, P.C.

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

111N00000X Issued in MN

Legal business name

LIVING WELL CHIROPRACTIC, P.C.

Practice address

3140 Harbor LN N Ste 102
Plymouth, MN 55447-5118

Phone

(763) 230-7333

Fax

(763) 230-7335

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Clarence Leach, D.C.NPI 1477504843

Title

Chiropractor

Phone

(763) 230-7333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Jeffrey Clarence Leach, D.C.

  • Chiropractor
  • Plymouth, MN
  • NPI 1477504843
  NPD (past) Authorized official
• Breanna Rae Lambach, DC

  • Chiropractor
  • Plymouth, MN
  • NPI 1356813588
  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1881900181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 HARBOR LN N STE 102",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475118",
            "telephone_number": "763-230-7333",
            "fax_number": "763-230-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 HARBOR LN N STE 102",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475118",
            "telephone_number": "763-230-7333",
            "fax_number": "763-230-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "763-230-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "MN",
            "license": "111N00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3500003067",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory David Liska, DDS
• Joe Litsey, PHARM.D.
• Andrew Yongkun Liu
• Jessica Liu
• Living Well Chiropractic, P.C.
• Tenzin Tsetan Lobsang
• Lokeh Plastic Surgery PA
• Jayne Ellen Long, PT
• Lisa Lavonn Long, RN CNS
• Joycelin Vicky Lopez, AUD

• Independent Medical Examiner Chiropractor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Independent Medical Examiner Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.