Individual provider Active NPI

Todd Owen Lockhart, D.C.

  • Chiropractor
  • Concord, NC
National Provider Identifier
1053369587
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3011 Issued in NC
Practice address
103 Country Club Dr NE
Concord, NC 28025-2935
Phone
(704) 792-2200
Fax
(704) 792-2204
NPI assigned
May 5, 2006
Last updated
Oct 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3011 NC Primary

Addresses

Primary practice location

103 Country Club Dr NE
Concord, NC 28025-2935

Mailing address

103 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 792-2200

Other identifiers 1

IdentifierTypeStateIssuer
89085GFMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000518 NC Practitioner - Chiropractic 1759489933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Wellness of the CarolinasGroup PAC ID 2466605662, 6 clinicians

Practice addresses (Care Compare)

103 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 792-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3011NCMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Wellness of the Carolinas CurrentSince Aug 1, 2016 Accepting new patients
Optimal Brain and Body PLLC Chiropractor Current Accepting new patients
Infinite Wellness of the Carolinas CurrentSince Aug 1, 2016 Accepting new patients
Hofmann Chiropractic Clinic, P.C. Chiropractor PastSince May 12, 1998 Accepting new patients

Locations

103 Country Club Dr NE
Kannapolis, NC 28025
Phone (704) 721-4232

2160 Commerce Dr
Ste B
Monroe, NC 28110
Phone (704) 282-9300

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1053369587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COUNTRY CLUB DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252935",
            "telephone_number": "704-792-2200",
            "fax_number": "704-792-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COUNTRY CLUB DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252935",
            "telephone_number": "704-792-2200",
            "fax_number": "704-792-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "TODD",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085GF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.