Chiropractic Lifestyle Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002551 Issued in WA

Legal business name

CHIROPRACTIC LIFESTYLE CENTER

Practice address

991 NE Riddell Rd
Bremerton, WA 98310

Phone

(360) 373-2225

Fax

(360) 373-4764

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ron Simans

Title

Office Manager

Phone

(360) 373-2225

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 4

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

• Ryan Baxter Macedo, D.C.

  • Chiropractor
  • Vancouver, WA
  • NPI 1083949887
  Medicare reassignment Care Compare group
• David J. Powell, DC

  • Chiropractor
  • Billings, MT
  • NPI 1447454053

  WA

  Medicare reassignment Care Compare group
• Cassidy Alyson McCrea, DC

  • Chiropractor
  • Poulsbo, WA
  • NPI 1144934993
  Medicare reassignment NPD
• Morgan Reed Kinnear, DC

  • Chiropractor
  • Portland, OR
  • NPI 1902441538

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1932369667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 NE RIDDELL RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-373-2225",
            "fax_number": "360-373-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 NE RIDDELL RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-373-2225",
            "fax_number": "360-373-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC LIFESTYLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SIMANS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-373-2225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002551",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaysen Cherry
• Aja Cheslik
• Shaydon Childers
• Jeanette Kathleen Childress, BA
• Jesica Chinn, AAC
• Cosette Chiv
• Bo Young Shelburne Choi, MD
• Jessa Choi
• Larry N.M. Choong, RPH
• Darren M Chotiner, M.D.

• Chiropractor in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.