Organization Active NPI

Spine Clinic, LLC

  • Chiropractor
  • Fort Scott, KS
National Provider Identifier
1538477690
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05329 Issued in KS
Legal business name
SPINE CLINIC, LLC
Doing business as
Cosens Chiropractic
Practice address
15 N Main St
Fort Scott, KS 66701-1410
Phone
(620) 223-2990
Fax
(620) 223-2991
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Dr. Lucas Brent Cosens Sr., D.C.
Title
Owner/Provider
Phone
(620) 223-2990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2010013287 MO
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 01-05329 KS Primary

Addresses

Primary practice location

15 N Main St
Fort Scott, KS 66701-1410

Mailing address

PO Box 589
Fort Scott, KS 66701-0589
Phone (620) 223-2990

Other names 1

  • Cosens Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

15 N Main St
Fort Scott, KS 66701
Phone (620) 223-2990

200 E Centennial Dr
Ste 3
Pittsburg, KS 66762
Phone (620) 231-8003

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1538477690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667010589",
            "telephone_number": "620-223-2990",
            "fax_number": "620-223-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667011410",
            "telephone_number": "620-223-2990",
            "fax_number": "620-223-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "COSENS",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "620-223-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010013287",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosens Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Scott, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.