NPIMap

Organization Active NPI

Bagwell Chiropractic PA

Doing business as LifeSpring Chiropractic

  • Chiropractor
  • Huntersville, NC
National Provider Identifier
1033278080
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3498 Issued in NC
Legal business name
BAGWELL CHIROPRACTIC PA
Doing business as
LifeSpring Chiropractic
Practice address
10215 Hickorywood Hill Ave Ste a
Huntersville, NC 28078-3429
Phone
(704) 947-2902
Fax
(704) 947-2910
NPI assigned
Dec 6, 2006
Last updated
May 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Lonnie Robert Bagwell II, DC
Title
President
Phone
(704) 947-2902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3498 NC Primary

Addresses

Primary practice location

10215 Hickorywood Hill Ave Ste a
Huntersville, NC 28078-3429

Mailing address

10215 Hickorywood Hill Ave Ste a
Huntersville, NC 28078-3429
Phone (704) 947-2902

Other names 1

  • LifeSpring Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

10215 Hickorywood Hill Ave
Ste A
Huntersville, NC 28078
Phone (704) 947-2902

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1033278080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 HICKORYWOOD HILL AVE STE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783429",
            "telephone_number": "704-947-2902",
            "fax_number": "704-947-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 HICKORYWOOD HILL AVE STE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783429",
            "telephone_number": "704-947-2902",
            "fax_number": "704-947-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGWELL CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-947-2902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSpring Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.