Organization Active NPI

Lowry Chiropractic Life Center, PC

  • Chiropractor
  • Gaylord, MI
National Provider Identifier
1912109620
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DL007537 Issued in MI
Legal business name
LOWRY CHIROPRACTIC LIFE CENTER, PC
Doing business as
Gaylord Chiropractic Clinic
Practice address
702 N Center Ave
Gaylord, MI 49735-1508
Phone
(989) 732-0665
Fax
(989) 732-1429
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. David Robert Lowry, DC
Title
President
Phone
(989) 732-0665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DL007537 MI Primary

Addresses

Primary practice location

702 N Center Ave
Gaylord, MI 49735-1508

Mailing address

702 N Center Ave
PO Box 1305
Gaylord, MI 49735-1508
Phone (989) 732-0665

Other identifiers 1

IdentifierTypeStateIssuer
950F950140OtherMIBLUECROSSBLUESHIELD #

Other names 1

  • Gaylord Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1369 W Main St
Gaylord, MI 49735
Phone (989) 732-0665

702 N Center Ave
Gaylord, MI 49735
Phone (984) 732-0665

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1912109620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N CENTER AVE",
            "address_2": "PO BOX 1305",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351508",
            "telephone_number": "989-732-0665",
            "fax_number": "989-732-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351508",
            "telephone_number": "989-732-0665",
            "fax_number": "989-732-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWRY CHIROPRACTIC LIFE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-732-0665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "DL007537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD #",
            "identifier": "950F950140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaylord Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.