Lifetime Wellness Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003287 Issued in WA

Legal business name

LIFETIME WELLNESS CHIROPRACTIC INC

Practice address

5825 221St PL SE
Suite 103
Issaquah, WA 98027

Phone

(425) 392-7334

Fax

(425) 392-8009

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Heather A Denniston, DCNPI 1831221100

Title

Chiropractor

Phone

(425) 392-7334

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, and the practitioner matching its NPPES authorized official.

• Heather A Denniston, DC

  • Chiropractor
  • Issaquah, WA
  • NPI 1831221100
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1982781233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 221ST PL SE",
            "address_2": "SUITE 103",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98027",
            "telephone_number": "425-392-7334",
            "fax_number": "425-392-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 221ST PL SE",
            "address_2": "SUITE 103",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98027",
            "telephone_number": "425-392-7334",
            "fax_number": "425-392-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME WELLNESS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "DENNISTON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "425-392-7334",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah D Ley, PT
• Jessica M. Liberty, DPT
• James Lichtenwalter, DC
• Nicholas S Liddick
• Valerie Sanchez Liebhaber, D.D.S.
• Laureen Light, PH.D.
• Lighthouse Pediatric Medicine PLLC (Lighthouse Pediatrics)
• Gina Lightner
• Faith McDevitt Liikala, R.PH.
• Chih Ying Lin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.