Organization Active NPI

Art of Life Chiropractic, LLC

  • Chiropractor
  • El Dorado, KS
National Provider Identifier
1891855938
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
T-00974 Issued in KS
Legal business name
ART OF LIFE CHIROPRACTIC, LLC
Practice address
311 S Main St
El Dorado, KS 67042-3414
Phone
(316) 321-5433
NPI assigned
Dec 11, 2006
Last updated
Nov 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. Marcus Le Deaver, D.C.NPI 1700951530
Title
Doctor
Phone
(316) 321-5433

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
Chiropractor 111N00000X T-00974 KS Primary

Addresses

Primary practice location

311 S Main St
El Dorado, KS 67042-3414

Mailing address

311 South Main St
El Dorado, KS 67042
Phone (316) 321-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071106000413 KS Part B Supplier - Clinic/Group Practice 4688761729 Receives reassigned benefits from 1 practitioner
Practice locations: El Dorado, KS

National Provider Directory

National Provider Directory

Locations

311 S Main St
El Dorado, KS 67042
Phone (316) 321-5433

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1891855938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SOUTH MAIN ST",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "67042",
            "telephone_number": "316-321-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S MAIN ST",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670423414",
            "telephone_number": "316-321-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART OF LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "DEAVER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "316-321-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "T-00974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.