Elevate Life Chiropractic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELEVATE LIFE CHIROPRACTIC, LLC

Doing business as

Elevate Life Chiropractic

Practice address

2004 NW South Outer Rd
Blue Springs, MO 64015-6423

Phone

(816) 427-5244

Fax

(816) 427-5245

NPI assigned

Dec 7, 2021

Last updated

Jul 13, 2023By 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

Annette HurdNPI 1194483420

Title

Owner/Operator

Phone

(816) 427-5244

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elevate Life Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

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.

• Annette Elizabeth Hurd, D.C.

  • Chiropractor
  • Blue Springs, MO
  • NPI 1194483420

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1366100380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 NW SOUTH OUTER RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156423",
            "telephone_number": "816-427-5244",
            "fax_number": "816-427-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 NW SOUTH OUTER RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156423",
            "telephone_number": "816-427-5244",
            "fax_number": "816-427-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "816-427-5244"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194483420",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elevate Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.