Organization Active NPI

Elevate Chiropractic & Wellness Center

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1578076642
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5140 Issued in KY
Legal business name
ELEVATE CHIROPRACTIC & WELLNESS CENTER
Practice address
4250 Saron Dr
Lexington, KY 40515-6483
Phone
(859) 629-3131
Fax
(859) 629-3132
NPI assigned
Nov 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Christian Thomas Rosevear, DCNPI 1225287659
Title
Owner/Chiropractic Director
Phone
(859) 537-0261

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 5140 KY Primary

Addresses

Primary practice location

4250 Saron Dr
Lexington, KY 40515-6483

Mailing address

1129 Armstrong Mill Rd
Lexington, KY 40517-3106
Phone (859) 537-0261

Other identifiers 1

IdentifierTypeStateIssuer
7100069880MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190408000991 KY Part B Supplier - Clinic/Group Practice 9335480078 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

4250 Saron Dr
Lexington, KY 40515
Phone (859) 629-3131

4250 Saron Dr
Ste 175
Lexington, KY 40515
Phone (859) 273-0310

207 E Reynolds Rd
Ste 140
Lexington, KY 40517
Phone (859) 273-4455

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": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1578076642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 ARMSTRONG MILL RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173106",
            "telephone_number": "859-537-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 SARON DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156483",
            "telephone_number": "859-629-3131",
            "fax_number": "859-629-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE CHIROPRACTIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "ROSEVEAR",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC DIRECTOR",
        "authorized_official_telephone_number": "859-537-0261",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100069880",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 5, 2017; 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.