Levi Dean Skog, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14403 Issued in TX

Practice address

10761 Founders Way
Fort Worth, TX 76177-1574

Phone

(469) 540-7158

NPI assigned

Sep 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifeclinic Chiropractic of Texas, LLC

  • Chiropractor
  • Allen, TX
  • NPI 1417347899
  Medicare reassignment
• Premier Sports Chiropractic of Indiana , P.C.

  • Chiropractor
  • Carmel, IN
  • NPI 1588619951
  NPD

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1972153641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10761 FOUNDERS WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771574",
            "telephone_number": "469-540-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10761 FOUNDERS WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771574",
            "telephone_number": "469-540-7158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 E Carmel Dr",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460322633",
            "country_code": "US",
            "telephone_number": "317-844-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOG",
        "first_name": "LEVI",
        "middle_name": "DEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003083A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Skinner, LPC
• Phillip Howard Skinner, MD
• Quinn Skinner
• John Anthony Sklar, M.D.
• Katherine Nicole Skodak, PA-C
• Bryan Skulpoonkitti, D.O.
• Betty L Skur
• Skyline Drug LLC
• Lindsey Slack, D.O.
• Slade Chiropractic PLLC

• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.