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LIFE CHIROPRACTIC CLINIC LLC
NPI 1629445564
Chiropractor in Nixa, MO

Active since August 26, 2015
611 W MOUNT VERNON ST STE C, NIXA, MO 65714(417) 724-2225 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Life Chiropractic Clinic Llc NPPES

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

LIFE CHIROPRACTIC CLINIC LLC (NPI 1629445564) is a healthcare organization registered as a chiropractor in Nixa, Missouri and active in the NPI registry since August 2015. The organization lists Justin Pantleo, Owner, as its authorized official.

NPPES Registry Identity

NPI1629445564
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE CHIROPRACTIC CLINIC LLC
Location Address611 W MOUNT VERNON ST STE CNixa, MO 65714-9601
Mailing Address611 W Mount Vernon St Ste CNixa, MO 65714-9601
Phone(417) 724-2225
Organization SubpartNo
Authorized OfficialJustin PantleoOwner · (417) 724-2225
Enumeration DateAugust 26, 2015
Last NPPES UpdateSeptember 24, 2015
✔ NPI 1629445564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2015030812
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.
611 W MOUNT VERNON ST STE C, Nixa, MO 65714
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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)

Life Chiropractic Clinic Llc 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 Life Chiropractic Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Justin Pantleo
Chiropractic
NPI 1376910216
611 W MOUNT VERNON ST STE C
Nixa, MO 65714
(417) 724-2225
✔ Accepts Medicare1.2 mi

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 Life Chiropractic Clinic LLC's NPI number?

The NPI number for Life Chiropractic Clinic LLC is 1629445564. It was assigned to this organization in the NPPES registry on August 26, 2015.

Where is Life Chiropractic Clinic LLC located?

Life Chiropractic Clinic LLC is located at 611 W Mount Vernon St Ste C, Nixa, MO 65714. The listed phone number is (417) 724-2225.

What is Life Chiropractic Clinic LLC's specialty?

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

Is Life Chiropractic Clinic LLC enrolled in Medicare?

Yes. Life Chiropractic Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Chiropractic Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Life Chiropractic Clinic LLC. 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 Life Chiropractic Clinic LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Life Chiropractic Clinic LLC 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 Life Chiropractic Clinic LLC was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.