Organization Active NPI

Enlight Health Company

  • Chiropractor
  • Mequon, WI
National Provider Identifier
1700562295
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ENLIGHT HEALTH COMPANY
Practice address
11520 N Port Washington Rd Ste 101B
Mequon, WI 53092-3432
Phone
(262) 236-9474
Fax
(262) 236-9474
NPI assigned
Jun 27, 2023
Last updated
Jun 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Maria Lemesheva, DC
Title
Doctor
Phone
(262) 236-9474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X

Addresses

Primary practice location

11520 N Port Washington Rd Ste 101B
Mequon, WI 53092-3432

Mailing address

11520 N Port Washington Rd Ste 101B
Mequon, WI 53092-3432
Phone (262) 236-9474

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1700562295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 N PORT WASHINGTON RD STE 101B",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923432",
            "telephone_number": "262-236-9474",
            "fax_number": "262-236-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 N PORT WASHINGTON RD STE 101B",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923432",
            "telephone_number": "262-236-9474",
            "fax_number": "262-236-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHT HEALTH COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "LEMESHEVA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "262-236-9474",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.