Lifetime Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LIFETIME CHIROPRACTIC CENTER LLC

Practice address

2727 W Cleveland Ave Ste 100
Milwaukee, WI 53215-2956

Phone

(262) 389-8622

Fax

(414) 643-6400

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael Janusz

Title

Member

Phone

(414) 643-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond M Janusz, D.C.

  • Chiropractor
  • Milwaukee, WI
  • NPI 1154351237
  Medicare reassignment NPD
• Gerardo Perez- Espindola, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gurnee, IL
  • NPI 1568456374
  NPD

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525478400000",
    "number": "1952671034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 666",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530080666",
            "telephone_number": "414-643-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W CLEVELAND AVE STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152956",
            "telephone_number": "262-389-8622",
            "fax_number": "414-643-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2018-05-05",
        "status": "A",
        "authorized_official_last_name": "JANUSZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "414-643-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2018; 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.