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LIFE CLINIC OF MO DC PC
NPI 1891331369
Chiropractor in Frontenac, MO

Active since November 20, 2019
2051 SOUTH LINDBERGH BLVD, FRONTENAC, MO 63131(952) 229-7464 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2022, Dec 9, 2019, Nov 20, 2019 (3 updates tracked since 2019).

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

NPI1891331369
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE CLINIC OF MO DC PC
Location Address2051 SOUTH LINDBERGH BLVDFrontenac, MO 63131
Mailing AddressPo Box 549Chanhassen, MN 55317-0549
Phone(952) 229-7464
Organization SubpartNo
Authorized OfficialReza AlizadehPresident · (612) 868-6894
Enumeration DateNovember 20, 2019
Last NPPES UpdateJanuary 17, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2022
✔ NPI 1891331369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
2051 SOUTH LINDBERGH BLVD, Frontenac, MO 63131
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

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.