NPIMap

Organization Active NPI

Coxon Lifestyle Management Clinic, LLC

  • Chiropractor
  • Fort Mill, SC
National Provider Identifier
1487927760
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3419 Issued in SC
Legal business name
COXON LIFESTYLE MANAGEMENT CLINIC, LLC
Practice address
1012 Market St
Suite 101
Fort Mill, SC 29708-6461
Phone
(803) 370-4294
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Adam Mark Coxon, DCNPI 1871731984
Title
President
Phone
(803) 370-4294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3419 SC Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3702 SC

Addresses

Primary practice location

1012 Market St
Suite 101
Fort Mill, SC 29708-6461

Mailing address

1012 Market St
Suite 101
Fort Mill, SC 29708-6461
Phone (803) 370-4294

National Provider Directory

National Provider Directory

Locations

1012 Market St
Ste 101
Fort Mill, SC 29708
Phone (803) 370-1907

Practitioners & affiliated clinicians

Practitioners 3

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": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1487927760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MARKET ST",
            "address_2": "SUITE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086461",
            "telephone_number": "803-370-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MARKET ST",
            "address_2": "SUITE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086461",
            "telephone_number": "803-370-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COXON LIFESTYLE MANAGEMENT CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "COXON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-370-4294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3419",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.