Organization Active NPI

Lifeforce Chiropractic, Inc.

  • Chiropractor
  • Palm Bay, FL
National Provider Identifier
1386783876
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFEFORCE CHIROPRACTIC, INC.
Practice address
5560 Babcock St NE
Palm Bay, FL 32907-2300
Phone
(321) 409-0209
Fax
(321) 409-0208
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Adriana M Monteleon, D.C.
Title
President
Phone
(321) 409-0209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X FL Primary

Addresses

Primary practice location

5560 Babcock St NE
Palm Bay, FL 32907-2300

Mailing address

5560 Babcock St NE
Palm Bay, FL 32907-2300
Phone (321) 409-0209

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040917000430 FL Part B Supplier - Clinic/Group Practice 8921076092 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Bay, FL

National Provider Directory

National Provider Directory

Locations

2200 Port Malabar Blvd NE
Ste 1
Palm Bay, FL 32905
Phone (321) 409-0209

5560 Babcock St NE
Palm Bay, FL 32907
Phone (321) 409-0209

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1386783876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 BABCOCK ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072300",
            "telephone_number": "321-409-0209",
            "fax_number": "321-409-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 BABCOCK ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072300",
            "telephone_number": "321-409-0209",
            "fax_number": "321-409-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFORCE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "MONTELEON",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-409-0209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.