NPIMap

Organization Active NPI

Lotus Healing Arts LLC

  • Chiropractor
  • Plover, WI
National Provider Identifier
1154595841
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1734-012 Issued in WI
Legal business name
LOTUS HEALING ARTS LLC
Practice address
2610 Post Road
Plover, WI 54467
Phone
(715) 345-0655
Fax
(715) 345-0904
NPI assigned
Apr 15, 2008
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. Mark S. Ensweiler, D.C., L.AC.NPI 1609954049
Title
Owner
Phone
(715) 345-0655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1734-012 WI Primary

Addresses

Primary practice location

2610 Post Road
Plover, WI 54467

Mailing address

PO Box 908
Plover, WI 54467-0908
Phone (715) 345-0655

Other names 1

  • Mark S. Ensweiler Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090313000081 WI Part B Supplier - Clinic/Group Practice 6406912666 Receives reassigned benefits from 2 practitioners
Practice locations: Plover, WI

National Provider Directory

National Provider Directory

Locations

2610 Post Rd
Plover, WI 54467
Phone (715) 345-0566

Practitioners & affiliated clinicians

Practitioners 4

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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1154595841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544670908",
            "telephone_number": "715-345-0655",
            "fax_number": "715-345-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 POST ROAD",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "54467",
            "telephone_number": "715-345-0655",
            "fax_number": "715-345-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS HEALING ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "ENSWEILER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-345-0655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1734-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark S. Ensweiler",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plover, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.