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
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 4

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

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • Mark S. Ensweiler Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2009.

{
    "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.