LEVI DEAN SKOG DC
NPI 1972153641
Chiropractor in Fort Worth, TX

Active since September 16, 2019
10761 FOUNDERS WAY, FORT WORTH, TX 76177(469) 540-7158 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2020, Feb 11, 2020, Sep 16, 2019 (3 updates tracked since 2019).

About Levi Dean Skog Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEVI DEAN SKOG DC (NPI 1972153641) is an individual chiropractor in Fort Worth, Texas, licensed in Texas (14403) and active in the NPI registry since September 2019. He maintains a secondary practice location in Carmel.

NPPES Registry Identity

NPI1972153641
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameLEVI DEAN SKOGCredential: DC
Location Address10761 FOUNDERS WAYFort Worth, TX 76177-1574
Mailing Address10761 Founders WayFort Worth, TX 76177-1574 · (469) 540-7158
Sole ProprietorNo
Enumeration DateSeptember 16, 2019
Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1972153641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in TX · 14403✔ Licensed in IN · 08003083A
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
10761 FOUNDERS WAY, Fort Worth, TX 76177

Secondary Practice Location 1

Location 1120 E Carmel DrCarmel, IN 46032-2633 · Phone (317) 844-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Levi Dean Skog Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Levi Skog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
971 SAM RAYBURN TOLLWAY
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 23 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
10761 FOUNDERS WAY
FORT WORTH, TX 76177
Chiropractor
10761 FOUNDERS WAY
FORT WORTH, TX 76177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Levi Skog's NPI number?

The NPI number for Levi Skog is 1972153641. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Where is Levi Skog located?

Levi Skog practices at 10761 Founders Way, Fort Worth, TX 76177. The listed phone number is (469) 540-7158.

What is Levi Skog's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Levi Skog enrolled in Medicare?

Yes. Levi Skog is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Levi Skog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Levi Skog reassigns Medicare benefits to Lifeclinic Chiropractic Of Texas, LLC (Allen, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Levi Skog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Levi Skog was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.