LIFE CLINIC OF MO DC PC
NPI 1891331369
Chiropractor in Frontenac, MO
About Life Clinic Of Mo Dc Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE CLINIC OF MO DC PC (NPI 1891331369) is a healthcare organization registered as a chiropractor in Frontenac, Missouri and active in the NPI registry since November 2019. The organization lists Reza Alizadeh, President, 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)
Life Clinic Of Mo Dc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Life Clinic Of Mo Dc PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Clinic Of Mo Dc PC's NPI number?
The NPI number for Life Clinic Of Mo Dc PC is 1891331369. It was assigned to this organization in the NPPES registry on November 20, 2019.
Where is Life Clinic Of Mo Dc PC located?
Life Clinic Of Mo Dc PC is located at 2051 South Lindbergh Blvd, Frontenac, MO 63131. The listed phone number is (952) 229-7464.
What is Life Clinic Of Mo Dc PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Life Clinic Of Mo Dc PC enrolled in Medicare?
Yes. Life Clinic Of Mo Dc PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Life Clinic Of Mo Dc PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Life Clinic Of Mo Dc 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Life Clinic Of Mo Dc PC was last updated on January 17, 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.
# Life Clinic Of Mo Dc Pc · NPI 1891331369
Chiropractor organization in Frontenac, Missouri. Organization record, active in the CMS NPPES registry since November 20, 2019.
## Identity
- **NPI:** 1891331369 (Entity type: Organization)
- **Enumerated:** November 20, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Reza Alizadeh, PRESIDENT
## Practice location
- **Address:** 2051 SOUTH LINDBERGH BLVD, Frontenac, MO 63131
- **Phone:** (952) 229-7464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1891331369) · Data from the CMS NPPES public registry.