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LIFESPRING CHIROPRACTIC INC
NPI 1164557476
Chiropractor in Newport Beach, CA

Active since February 23, 2007
4030 BIRCH STREET, SUITE 107, NEWPORT BEACH, CA 92660(949) 752-5533(949) 752-5532 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lifespring Chiropractic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESPRING CHIROPRACTIC INC (NPI 1164557476) is a healthcare organization registered as a chiropractor in Newport Beach, California and active in the NPI registry since February 2007. The organization lists Derek W Mason, Owner Ceo, as its authorized official.

NPPES Registry Identity

NPI1164557476
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFESPRING CHIROPRACTIC INC
Location Address4030 BIRCH STREET, SUITE 107Newport Beach, CA 92660-2291
Mailing Address4030 Birch Street, Suite 107Newport Beach, CA 92660-2291 · (949) 752-5533 · Fax (949) 752-5532
Phone(949) 752-5533
Fax(949) 752-5532
Organization SubpartNo
Authorized OfficialDerek W MasonOwner Ceo · (949) 752-5533
Enumeration DateFebruary 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164557476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in CA · DC26899✔ Licensed in CA · DC26839
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4030 BIRCH STREET, Newport Beach, CA 92660
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifespring Chiropractic Inc 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 Lifespring Chiropractic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Derek Mason
Chiropractic
NPI 1700016136
4030 BIRCH ST SUITE 107
Newport Beach, CA 92660
(949) 752-5533
Same address

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 Lifespring Chiropractic Inc's NPI number?

The NPI number for Lifespring Chiropractic Inc is 1164557476. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Lifespring Chiropractic Inc located?

Lifespring Chiropractic Inc is located at 4030 Birch Street Suite 107, Newport Beach, CA 92660. The listed phone number is (949) 752-5533.

What is Lifespring Chiropractic Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lifespring Chiropractic Inc enrolled in Medicare?

Yes. Lifespring Chiropractic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifespring Chiropractic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lifespring Chiropractic Inc. 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 Lifespring Chiropractic Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.