Life Enhancing Wellness Centers, LLC
NPI 1043759863ActiveOrganization· Chiropractor, Nutrition· Ruckersville, VA
Chiropractor, Nutrition in Ruckersville, Virginia, registered in NPPES in February 2017. The authorized official on file is Demetrios A. Kydonieus, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043759863 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2017 |
| Last updated in NPPES | Nov 14, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Nutrition Primary | 111NN1001X | 0104556817 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|