Living Well Chiropractic Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009268 Issued in MD

Legal business name

LIVING WELL CHIROPRACTIC CENTER PLLC

Practice address

1801 Breton Road
Ste a
Grand Rapids, MI 49506-4807

Phone

(616) 957-9100

Fax

(616) 957-9111

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Anne Derosa Belmont, DCNPI 1972799609

Title

President

Phone

(616) 957-9100

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kathleen Anne Derosa Belmont, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1972799609
  NPD (past) Authorized official

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1942495965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BRETON ROAD",
            "address_2": "STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064807",
            "telephone_number": "616-957-9100",
            "fax_number": "616-957-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BRETON ROAD",
            "address_2": "STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064807",
            "telephone_number": "616-957-9100",
            "fax_number": "616-957-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DEROSA BELMONT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-957-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "2301009268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Elisa Lively, M.D.
• Nina Rae Livermore, MD
• Living Roots LLC
• Living Springs Counseling Services
• Living Streams Counseling
• Living Well Recreation Therapy
• Andrew J Livingston, M.D. F.A.C.S
• Jon Patrick Llamas, RD
• LLC Behavior Services
• LLC Behavior Services

• Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.