Elevated Living Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELEVATED LIVING CHIROPRACTIC LLC

Practice address

102 Grant St
Aurora, NE 68818-3200

Phone

(402) 819-9549

NPI assigned

Jul 29, 2021

Last updated

Jul 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Devon Rasmussen, DCNPI 1881246460

Title

Chiropractor

Phone

(402) 819-9549

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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.

• Devon I Rasmussen, DC

  • Chiropractor
  • Rapid City, SD
  • NPI 1881246460

  NE

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1881367357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36234 535 AVE",
            "city": "SAINT EDWARD",
            "state": "NE",
            "postal_code": "686606055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GRANT ST",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688183200",
            "telephone_number": "402-819-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED LIVING CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "402-819-9549",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026880900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Rose De la Cruz, LIMHP
• Jamie Lee Dibbern, FNP-C
• Mark B Dick, PT
• Dallas Michelle Dunn
• Kimberly Keller Eberly, MOT, OTR/L
• Billinda Kay Elliott
• Alexis R. Erbst, M.D.
• Esslinger Physical Therapy LLC
• Philip Esslinger
• Andrew Farrand

• Chiropractor in Aurora, NE
• Providers in Aurora, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.