Lifestyle Chiropractic and Wellness, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LIFESTYLE CHIROPRACTIC AND WELLNESS, PA

Practice address

750 S Plaza Dr Ste 104
Mendota Heights, MN 55120-1505

Phone

(612) 710-8798

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Andrew David Newman, DCNPI 1730537929

Title

Owner/President

Phone

(612) 710-8798

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Newman, D.C.

  • Chiropractor
  • Mendota Heights, MN
  • NPI 1730537929
  Medicare reassignment NPD Authorized official
• Melissa Baker

  • Massage Therapist
  • Saint Paul, MN
  • NPI 1508555327
  NPD (past)
• Joel Thomas Fugleberg, D.C.

  • Chiropractor
  • Mendota Heights, MN
  • NPI 1932246394
  NPD (past)
• Itzmi Samantha Gonzalez- Sanchez

  • Massage Therapist
  • Saint Paul, MN
  • NPI 1467054932
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1376104901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S PLAZA DR STE 104",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201505",
            "telephone_number": "651-406-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S PLAZA DR STE 104",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201505",
            "telephone_number": "612-710-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE CHIROPRACTIC AND WELLNESS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "612-710-8798",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Diane Larson
• Karl Larson
• Adam David Law
• Jacob Lemke
• Alexandra Marie Lewandowski
• Kari E Lind, PT
• Lynn Marie Lindgren, LICSW
• Lions United Fitness Center
• LKR Healthcare Services LLC
• Elizabeth Anne Lood, MS, BCBA

• Chiropractor in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.