Individual provider Active NPI

Leif Allen Stephens, D.C.

  • Chiropractor
  • Fort Morgan, CO
National Provider Identifier
1770733297
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR6282 Issued in CO
Practice address
329 E Platte Ave
Fort Morgan, CO 80701-3172
Phone
(970) 458-5216
Fax
(720) 247-9072
NPI assigned
Sep 19, 2008
Last updated
Jul 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR-6282 CO
Chiropractor 111N00000X CHR6282 CO Primary

Addresses

Primary practice location

329 E Platte Ave
Fort Morgan, CO 80701-3172

Mailing address

329 E Platte
Fort Morgan, CO 80701
Phone (970) 458-5216

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090327000278 CO Practitioner - Chiropractic 5395802870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Integrated Medicine LLCGroup PAC ID 4688914526, 2 clinicians

Practice addresses (Care Compare)

220 E Beaver Ave
Fort Morgan, CO 80701-3103
Phone (970) 458-5216

329 E Platte Ave
Fort Morgan, CO 80701-3172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR6282COMDChiropractor
CR-6282COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Integrated Medicine LLC CurrentSince Sep 28, 2019 Accepting new patients
Chiropractic Lifestyles, PC Chiropractor Past Accepting new patients

Locations

220 E Beaver Ave
Fort Morgan, CO 80701
Phone (970) 458-5216

329 E Platte Ave
Fort Morgan, CO 80701
Phone (970) 458-5216

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1770733297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E PLATTE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "80701",
            "telephone_number": "970-458-5216",
            "fax_number": "720-247-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E PLATTE AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013172",
            "telephone_number": "970-458-5216",
            "fax_number": "720-247-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "LEIF",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CR-6282",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR6282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.