Organization Active NPI

Renewed Life Chiropractic, LLC

  • Chiropractor
  • Louisburg, KS
National Provider Identifier
1114249729
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05304 Issued in KS
Legal business name
RENEWED LIFE CHIROPRACTIC, LLC
Practice address
156 Harvest Dr
Louisburg, KS 66053-4081
Phone
(913) 837-3310
Fax
(913) 440-0511
NPI assigned
Feb 23, 2010
Last updated
Feb 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Dr. Darcy Rae Monti, DC
Title
Owner/Operator
Phone
(913) 687-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05304 KS Primary

Addresses

Primary practice location

156 Harvest Dr
Louisburg, KS 66053-4081

Mailing address

156 Harvest Dr
Louisburg, KS 66053-4081
Phone (913) 837-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100714000901 KS Part B Supplier - Clinic/Group Practice 8022140862 Receives reassigned benefits from 1 practitioner
Practice locations: Louisburg, KS

National Provider Directory

National Provider Directory

Locations

156 Harvest Dr
Louisburg, KS 66053
Phone (913) 837-3310

825 W Amity St
Louisburg, KS 66053
Phone (913) 837-3310

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1114249729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 HARVEST DR",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "660534081",
            "telephone_number": "913-837-3310",
            "fax_number": "913-440-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 HARVEST DR",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "660534081",
            "telephone_number": "913-837-3310",
            "fax_number": "913-440-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "MONTI",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "913-687-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.