LIFETIME CHIROPRACTIC, PC
NPI 1245560432
Chiropractor in Minot, ND

Active since January 11, 2010
1050 31ST AVE SW STE C, MINOT, ND 58701(701) 839-2010(701) 838-3497 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lifetime Chiropractic, Pc NPPES

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

LIFETIME CHIROPRACTIC, PC (NPI 1245560432) is a healthcare organization registered as a chiropractor in Minot, North Dakota and active in the NPI registry since January 2010. The organization lists Amy Lou Petry, President, as its authorized official.

NPPES Registry Identity

NPI1245560432
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFETIME CHIROPRACTIC, PC
Location Address1050 31ST AVE SW STE CMinot, ND 58701-2005
Mailing Address1050 31st Ave Sw Ste CMinot, ND 58701-2005 · (701) 839-2010
Fax(701) 838-3497
Organization SubpartNo
Authorized OfficialAmy Lou PetryPresident · (701) 839-2010
Enumeration DateJanuary 11, 2010
Last NPPES UpdateFebruary 8, 2010
✔ NPI 1245560432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ND · 854
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.
1050 31ST AVE SW STE C, Minot, ND 58701

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifetime Chiropractic, Pc 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 Lifetime Chiropractic, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1962732370
1050 31ST AVE SW STE C
Minot, ND 58701
(701) 839-2010
✔ Accepts MedicareSame 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 Lifetime Chiropractic, PC's NPI number?

The NPI number for Lifetime Chiropractic, PC is 1245560432. It was assigned to this organization in the NPPES registry on January 11, 2010.

Where is Lifetime Chiropractic, PC located?

Lifetime Chiropractic, PC is located at 1050 31st Ave SW Ste C, Minot, ND 58701. The listed phone number is (701) 839-2010.

What is Lifetime Chiropractic, PC's specialty?

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

Is Lifetime Chiropractic, PC enrolled in Medicare?

Yes. Lifetime Chiropractic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifetime Chiropractic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lifetime Chiropractic, PC. 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.

What insurance does Lifetime Chiropractic, PC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Lifetime Chiropractic, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifetime Chiropractic, PC was last updated on February 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.