Fire of Life Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9962 Issued in TX

Legal business name

FIRE OF LIFE CHIROPRACTIC PLLC

Doing business as

Fire of Life Chiropractic

Practice address

1200 Lakeway Dr
17B
Lakeway, TX 78734-4400

Phone

(512) 608-9121

Fax

(512) 608-9121

NPI assigned

Nov 27, 2007

Last updated

Jul 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kurt Vanessa Edeker

Title

Office Manager

Phone

(512) 608-9121

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Fire of Life Chiropractic Doing business as

Locations

Practitioners 3

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.

• Kurt William Edeker, DC

  • Chiropractor
  • Austin, TX
  • NPI 1003096975
  NPD
• James Robert Cordoba, D.C.

  • Chiropractor
  • Lakeway, TX
  • NPI 1932416054
  NPD (past)
• Mary K. Audia, D.C.

  • Chiropractor
  • Coralville, IA
  • NPI 1083826176
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1235311721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LAKEWAY DR",
            "address_2": "17B",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344400",
            "telephone_number": "512-608-9121",
            "fax_number": "512-608-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAKEWAY DR",
            "address_2": "17B",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344400",
            "telephone_number": "512-608-9121",
            "fax_number": "512-608-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRE OF LIFE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "EDEKER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-608-9121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY #",
            "identifier": "00641Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1003096975",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1235311721",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fire of Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Lynn Ferguson, BCBA
• Tatiana Ferreira-Black, RPH
• Dustin Ferrell, DC
• Alexander Martin Field
• Jeffrey Charles Fifield, D.M.D.
• Monica Ruth Fishbein, OTD
• Maria Fishel, PHD, LSSP
• Bailee Nicole Fleming
• Flintrock Falls Healthcare, Inc. (Lakeway Skilled Nursing and Rehabilitation)
• Ricardo Flores, DC

• Chiropractor in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.