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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041015000269 | KY | Part B Supplier - Clinic/Group Practice | 9830159680 |
Receives reassigned benefits from 4 practitioners Practice locations: Ft Mitchell, KY |
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.
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.