Organization Active NPI

Lifeforce Family Chiropractic PA

  • Chiropractor
  • Savage, MN
National Provider Identifier
1871784272
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFEFORCE FAMILY CHIROPRACTIC PA
Practice address
8734 County Road 42 W
Savage, MN 55378-2561
Phone
(952) 746-4404
NPI assigned
Aug 9, 2007
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Wade Arnett Lofton, BS,DC,ICPANPI 1770653628
Title
Owner/Ceo
Phone
(952) 746-4404

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

8734 County Road 42 W
Savage, MN 55378-2561

Mailing address

8734 W County Rd 42
Savage, MN 55378
Phone (952) 746-4404

Other identifiers 1

IdentifierTypeStateIssuer
458967000MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050610000631 MN Part B Supplier - Clinic/Group Practice 5092759035 Receives reassigned benefits from 1 practitioner
Practice locations: Savage, MN

National Provider Directory

National Provider Directory

Locations

8742 County Road 42 W
Savage, MN 55378
Phone (612) 875-7669

Practitioners & affiliated clinicians

Practitioners 3

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": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1871784272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8734 W COUNTY RD 42",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "55378",
            "telephone_number": "952-746-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8734 COUNTY ROAD 42 W",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782561",
            "telephone_number": "952-746-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFORCE FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "LOFTON",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "ARNETT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "952-746-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS,DC,ICPA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "458967000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.