Active NPI
Lifestyle Resumption Integrative Health
- Chiropractor
- Ft Mitchell, KY
National Provider Identifier
1962444653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- LIFESTYLE RESUMPTION INTEGRATIVE HEALTH
- Practice address
- 2182 Dixie Hwy
Ft Mitchell, KY 41017-2902 - Phone
- (859) 344-6001
- Fax
- (859) 344-6005
- NPI assigned
- Jun 10, 2006
- Last updated
- Oct 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Klaude P Kocan, DC
- Title
- Owner
- Phone
- (859) 344-6001
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2182 Dixie Hwy
Ft Mitchell, KY 41017-2902
Mailing address
2182 Dixie Hwy
Ft Mitchell, KY 41017-2902
Phone (859) 344-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2182 Dixie Hwy
Ft Mitchell, KY 41017
Phone (859) 344-6001
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Chiropractor
- Ft Mitchell, KY
- NPI 1164428546
-
- Nurse Practitioner
- Taylor Mill, KY
- NPI 1265499669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570406400000",
"number": "1962444653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2182 DIXIE HWY",
"city": "FT MITCHELL",
"state": "KY",
"postal_code": "410172902",
"telephone_number": "859-344-6001",
"fax_number": "859-344-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2182 DIXIE HWY",
"city": "FT MITCHELL",
"state": "KY",
"postal_code": "410172902",
"telephone_number": "859-344-6001",
"fax_number": "859-344-6005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESTYLE RESUMPTION INTEGRATIVE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2019-10-07",
"status": "A",
"authorized_official_last_name": "KOCAN",
"authorized_official_first_name": "KLAUDE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-344-6001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Mitchell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.