Organization Active NPI

Lifeline Chiropractic and Natural Medicine PC

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1689112245
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4649 Issued in NC
Legal business name
LIFELINE CHIROPRACTIC AND NATURAL MEDICINE PC
Practice address
1133 Military Cutoff Rd
Suite 110
Wilmington, NC 28405-3684
Phone
(910) 679-4079
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Authorized official

Name
Louis J Buffalino, DC
Title
Owner
Phone
(931) 626-5088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4649 NC Primary

Addresses

Primary practice location

1133 Military Cutoff Rd
Suite 110
Wilmington, NC 28405-3684

Mailing address

1133 Military Cutoff Rd
Suite 110
Wilmington, NC 28405-3684

Other identifiers 1

IdentifierTypeStateIssuer
NCT5000281OtherNCMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

1133 Military Cutoff Rd
Ste 110
Wilmington, NC 28405
Phone (406) 223-2147

Practitioners & affiliated clinicians

Practitioners 1

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": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1689112245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 MILITARY CUTOFF RD",
            "address_2": "SUITE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 MILITARY CUTOFF RD",
            "address_2": "SUITE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053684",
            "telephone_number": "910-679-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE CHIROPRACTIC AND NATURAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "BUFFALINO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-626-5088",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCT5000281",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.