Lifesource Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10725 Issued in TX

Legal business name

LIFESOURCE CHIROPRACTIC

Practice address

711B N Bell Blvd
Cedar Park, TX 78613-2279

Phone

(512) 257-9500

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Kyle Meers, D.C

Title

Owner/Chiropractor

Phone

(512) 257-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1730361585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711B N BELL BLVD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711B N BELL BLVD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132279",
            "telephone_number": "512-257-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESOURCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "MEERS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "512-257-9500",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "608410",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.