LIFESTYLE CHIROPRACTIC PLLC
NPI 1063777522
Chiropractor in Denton, TX
About Lifestyle Chiropractic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESTYLE CHIROPRACTIC PLLC (NPI 1063777522) is a healthcare organization registered as a chiropractor in Denton, Texas and active in the NPI registry since July 2012. The organization lists Todd Lee Porter, Sole Mbr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifestyle Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifestyle Chiropractic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lifestyle Chiropractic PLLC's NPI number?
The NPI number for Lifestyle Chiropractic PLLC is 1063777522. It was assigned to this organization in the NPPES registry on July 11, 2012.
Where is Lifestyle Chiropractic PLLC located?
Lifestyle Chiropractic PLLC is located at 721 W Hickory St, Denton, TX 76201. The listed phone number is (940) 387-0405.
What is Lifestyle Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Lifestyle Chiropractic PLLC enrolled in Medicare?
Yes. Lifestyle Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifestyle Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lifestyle Chiropractic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lifestyle Chiropractic PLLC was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lifestyle Chiropractic Pllc · NPI 1063777522
Chiropractor organization in Denton, Texas. Organization record, active in the CMS NPPES registry since July 11, 2012.
## Identity
- **NPI:** 1063777522 (Entity type: Organization)
- **Enumerated:** July 11, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Todd Porter, SOLE MBR
## Practice location
- **Address:** 721 W HICKORY ST, Denton, TX 76201-4044
- **Phone:** (940) 387-0405 · **Fax:** (940) 383-2966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1063777522) · Data from the CMS NPPES public registry.