Lifetime Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8136 Issued in AZ

Legal business name

LIFETIME CHIROPRACTIC LLC

Practice address

235 E Warner Rd
Ste B104
Gilbert, AZ 85296-2972

Phone

(480) 633-3151

Fax

(480) 383-6076

NPI assigned

Aug 6, 2016

Organization subpart

No

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

Authorized official

Name

Jeffrey Rogers, D.C.

Title

Owner

Phone

(480) 633-3151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1891249942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1697",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421837",
            "telephone_number": "480-633-3151",
            "fax_number": "480-383-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E WARNER RD",
            "address_2": "STE B104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962972",
            "telephone_number": "480-633-3151",
            "fax_number": "480-383-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-633-3151",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.