Organization Active NPI

Chiro One Wellness Center of Hamburg PLLC

Doing business as Revive Chiropractic Centers

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1386891901
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIRO ONE WELLNESS CENTER OF HAMBURG PLLC
Doing business as
Revive Chiropractic Centers
Practice address
3229 Summit Square PL Ste 150
Lexington, KY 40509-2668
Phone
(859) 263-2774
Fax
(859) 263-2787
NPI assigned
Aug 26, 2008
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Dr. Nicholas Leverette, DCNPI 1710176987
Title
Owner
Phone
(859) 263-2774

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3229 Summit Square PL Ste 150
Lexington, KY 40509-2668

Mailing address

3229 Summit Square PL Ste 150
Lexington, KY 40509-2668
Phone (859) 263-2774

Other identifiers 1

IdentifierTypeStateIssuer
7100068880MedicaidKY

Other names 1

  • Revive Chiropractic Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090220000071 KY Part B Supplier - Clinic/Group Practice 6204991573 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

1890 Star Shoot Pkwy
Ste 185
Lexington, KY 40509
Phone (859) 263-2774

1890 Star Shoot Pkwy
Ste 190
Lexington, KY 40509
Phone (859) 263-2774

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": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1386891901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 SUMMIT SQUARE PL STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092668",
            "telephone_number": "859-263-2774",
            "fax_number": "859-263-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 SUMMIT SQUARE PL STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092668",
            "telephone_number": "859-263-2774",
            "fax_number": "859-263-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF HAMBURG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "LEVERETTE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-263-2774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100068880",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Chiropractic Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.