Life Source Creating Wellness Ctr Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1444 Issued in TN

Legal business name

LIFE SOURCE CREATING WELLNESS CTR INC

Practice address

491 Henslee Dr
Dickson, TN 37055-2166

Phone

(615) 441-6115

Fax

(615) 441-5154

NPI assigned

Mar 20, 2009

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad M Upchurch, D.C.NPI 1710059928

Title

Owner

Phone

(615) 441-6115

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Chad Michael Upchurch, D.C.

  • Chiropractor
  • Dickson, TN
  • NPI 1710059928
  Authorized official Same address or phone
• Daniel Terry Cole, D.C.

  • Chiropractor
  • Waverly, TN
  • NPI 1861660896
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1073754032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552166",
            "telephone_number": "615-441-6115",
            "fax_number": "615-441-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552166",
            "telephone_number": "615-441-6115",
            "fax_number": "615-441-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOURCE CREATING WELLNESS CTR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "UPCHURCH",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-441-6115",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Levitan, LPC
• Kendall N. Lewis, PT
• Krystal Angelique Lewis, D.D.S.
• Morgan Lewis
• LHC Homecare of Tennessee, LLC (Home Care Solutions)
• Tyler Lile, DC
• Rebecca Lynn Lipsey
• Crystal Nichole Littleton, LPN
• Elizabeth Michelle Littleton
• Leanna Livings

• Chiropractor in Dickson, TN
• Providers in Dickson, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.