NPIMap

Organization Active NPI

Prowellness Family Chiropractic Inc

  • Chiropractor
  • Lincolnton, NC
National Provider Identifier
1588043103
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3727 Issued in NC
Legal business name
PROWELLNESS FAMILY CHIROPRACTIC INC
Practice address
644 Clark Dr
Lincolnton, NC 28092-3714
Phone
(704) 735-9668
Fax
(704) 735-9775
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Miss Jennifer Robin Owings, DCNPI 1548439102
Title
Owner/ Doctor of Chiropractic
Phone
(704) 735-9668

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3727 NC Primary

Addresses

Primary practice location

644 Clark Dr
Lincolnton, NC 28092-3714

Mailing address

644 Clark Dr
Lincolnton, NC 28092-3714
Phone (704) 735-9668

Other names 1

  • Train Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150710001050 NC Part B Supplier - Clinic/Group Practice 0547572133 Receives reassigned benefits from 3 practitioners
Practice locations: Lincolnton, NC

National Provider Directory

National Provider Directory

Locations

644 Clark Dr
Lincolnton, NC 28092
Phone (704) 735-9668

1814 N Aspen St
Lincolnton, NC 28092
Phone (704) 240-5260

Practitioners & affiliated clinicians

Practitioners 6

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": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1588043103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 CLARK DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923714",
            "telephone_number": "704-735-9668",
            "fax_number": "704-735-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 CLARK DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923714",
            "telephone_number": "704-735-9668",
            "fax_number": "704-735-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWELLNESS FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "OWINGS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER/ DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "704-735-9668",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Train Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.