The Life House Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

011928-1 Issued in NY

Legal business name

THE LIFE HOUSE CHIROPRACTIC PLLC

Practice address

19 E 71St St
Suite 5a
New York, NY 10021-4119

Phone

(212) 876-3286

NPI assigned

Nov 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Josh Wagner, DC

Title

Director

Phone

(212) 328-6876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1992007025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E 71ST ST",
            "address_2": "SUITE 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E 71ST ST",
            "address_2": "SUITE 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214119",
            "telephone_number": "212-876-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFE HOUSE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-328-6876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011928-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.