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620 CHIROPRACTIC
NPI 1750809513
Chiropractor in Lakeway, TX

Active since August 31, 2017
1603 RANCH ROAD 620 N STE 200, LAKEWAY, TX 78734(512) 266-8100(512) 266-8103 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 31, 2017 (2 updates tracked since 2017).

About 620 Chiropractic NPPES

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

620 CHIROPRACTIC (NPI 1750809513) is a healthcare organization registered as a chiropractor in Lakeway, Texas and active in the NPI registry since August 2017. The organization lists Micah Wynn Pittman, Owner, as its authorized official.

NPPES Registry Identity

NPI1750809513
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business Name620 CHIROPRACTIC & LONGEVITY CENTER, PLLC
Location Address1603 RANCH ROAD 620 N STE 200Lakeway, TX 78734-2324
Mailing Address1603 Ranch Road 620 N Ste 200Lakeway, TX 78734-2324 · (512) 266-8100 · Fax (512) 266-8103
Phone(512) 266-8100
Fax(512) 266-8103
Organization SubpartNo
Authorized OfficialMicah Wynn PittmanOwner · (425) 457-1980
Enumeration DateAugust 31, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1750809513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 13544
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.
1603 RANCH ROAD 620 N STE 200, Lakeway, TX 78734
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Other Names 1

Doing Business As620 Chiropractic

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

620 Chiropractic 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 620 Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Micah Pittman, D.C., BSC
Chiropractic
NPI 1740300425
1603 RANCH ROAD 620 N STE 200
Lakeway, TX 78734
(512) 266-8100
✔ 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 620 Chiropractic & Longevity Center, PLLC's NPI number?

The NPI number for 620 Chiropractic & Longevity Center, PLLC is 1750809513. It was assigned to this organization in the NPPES registry on August 31, 2017. The provider is doing business as 620 Chiropractic.

Where is 620 Chiropractic & Longevity Center, PLLC located?

620 Chiropractic & Longevity Center, PLLC is located at 1603 Ranch Road 620 N Ste 200, Lakeway, TX 78734. The listed phone number is (512) 266-8100.

What is 620 Chiropractic & Longevity Center, PLLC's specialty?

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

Is 620 Chiropractic & Longevity Center, PLLC enrolled in Medicare?

Yes. 620 Chiropractic & Longevity Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 620 Chiropractic & Longevity Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to 620 Chiropractic & Longevity Center, 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 620 Chiropractic & Longevity Center, PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.