Elevate Life Chiropractic and Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2015040833 Issued in MO

Legal business name

ELEVATE LIFE CHIROPRACTIC AND WELLNESS LLC

Practice address

9237 N Oak Trfy
Kansas City, MO 64155-3392

Phone

(816) 321-1620

Fax

(816) 321-1566

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Paul Hoyal, D.C.NPI 1609232776

Title

Owner/Chiropractor

Phone

(816) 321-1620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Paul Hoyal, D.C.

  • Chiropractor
  • Weatherby Lake, MO
  • NPI 1609232776
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1396105458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9237 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553392",
            "telephone_number": "816-321-1620",
            "fax_number": "816-321-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553392",
            "telephone_number": "816-321-1620",
            "fax_number": "816-321-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE LIFE CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "HOYAL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "816-321-1620",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015040833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.