Lifeline Chiropractic, PLLC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2373 Issued in NC

Legal business name

LIFELINE CHIROPRACTIC, PLLC.

Practice address

19824 W Catawba Ave Ste E
Cornelius, NC 28031-4046

Phone

(704) 655-8930

Fax

(704) 655-8932

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Wayne Chandler, D.O.

Title

Owner

Phone

(704) 655-8930

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1669540605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2487",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280312487",
            "telephone_number": "704-655-8930",
            "fax_number": "704-655-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19824 W CATAWBA AVE STE E",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314046",
            "telephone_number": "704-655-8930",
            "fax_number": "704-655-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE CHIROPRACTIC, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-655-8930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085N9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Mae Lefauve, OTR/L
• Tashera Nicole Leonard, LCSWA
• Adam Michael Levine, MSW
• Stephanie Levy, LCMHCA, NCC
• Jennifer Marie Lidstrom, M.S.,D.C.,P.C.
• Sharon Virginia Linder Harrison
• Lee B Lindquist, M.D.
• Lindsey Morgan PLLC
• Lisa Moore, PT, DPT Corporation
• Kindra Janee Littman-Dekine, NURSE PRACTITIONER

• Chiropractor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.