Organization Active NPI

Lincoln Chiropractic, PC

  • Chiropractor
  • Lincolnton, NC
National Provider Identifier
1629762646
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LINCOLN CHIROPRACTIC, PC
Practice address
108 Newbold St
Lincolnton, NC 28092-3906
Phone
(910) 734-3805
NPI assigned
Jun 5, 2023
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Damon C Blackley, DCNPI 1538319389
Title
President
Phone
(910) 827-1170

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

108 Newbold St
Lincolnton, NC 28092-3906

Mailing address

108 Newbold St
Lincolnton, NC 28092-3906
Phone (704) 735-8226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803000190 NC Part B Supplier - Clinic/Group Practice 7618338914 Receives reassigned benefits from 1 practitioner
Practice locations: Lincolnton, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1629762646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NEWBOLD ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923906",
            "telephone_number": "704-735-8226",
            "fax_number": "704-735-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NEWBOLD ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923906",
            "telephone_number": "910-734-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "BLACKLEY",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-827-1170",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 5, 2026; 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.