Lifetime Family Wellness Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9744 Issued in TX

Legal business name

LIFETIME FAMILY WELLNESS INC

Practice address

1813 Harwood CT
Hurst, TX 76054-3190

Phone

(817) 428-9595

Fax

(817) 428-9451

NPI assigned

Apr 10, 2008

Last updated

Mar 4, 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

Dr. Jim Bob Haggerton, D.C.NPI 1851300115

Title

Owner

Phone

(817) 428-9595

Specialties & licenses 3

Addresses

Practitioners 1

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.

• Jim Bob Haggerton, D.C.

  • Chiropractor
  • Hurst, TX
  • NPI 1851300115
  Authorized official Same address or phone

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1578736567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 HARWOOD CT",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543190",
            "telephone_number": "817-428-9595",
            "fax_number": "817-428-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 HARWOOD CT",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543190",
            "telephone_number": "817-428-9595",
            "fax_number": "817-428-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME FAMILY WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "HAGGERTON",
        "authorized_official_first_name": "JIM BOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-428-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9744",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10827",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "10073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Maurice Legault, D.D.S.
• Jeffrey K Leitko, MD
• Keegan Skye Lepkowski, OTD, OTR
• Brooke Suzanne Lessman, M.S., CCC-SLP
• Valette ----------- Liedtkehendrickson, PH.D.
• Lifeway Medical Equipment, Inc.
• Limitless Counseling Group
• Jin Lin, D.M.D
• Katherine Linhart
• Jennifer Nicole Linley, P.T.A.

• Chiropractor in Hurst, TX
• Providers in Hurst, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.