Jennifer Lidstrom Ms DC PC
NPI 1033125240 · Multi-Specialty Clinic/Center · Cornelius, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Lidstrom Ms DC PC is a Multi-Specialty Clinic/Center organization in Cornelius, NC (NPI 1033125240).
Provider details
- NPI number
- 1033125240
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Lidstrom, Owner(704) 896-8446
- License
- 3249 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lakeside Sports Chiropractic Center
- Doing business as
- Lakeside Sports Chiropractic Center
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Frequently asked questions
- What is Jennifer Lidstrom Ms DC PC's NPI number?
- Jennifer Lidstrom Ms DC PC's National Provider Identifier (NPI) is 1033125240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jennifer Lidstrom Ms DC PC?
- Jennifer Lidstrom Ms DC PC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jennifer Lidstrom Ms DC PC located?
- Jennifer Lidstrom Ms DC PC's practice location on file with NPPES is 11220 Treynorth Dr Ste a, Cornelius, NC 28031-8198.
- What is Jennifer Lidstrom Ms DC PC's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Lidstrom Ms DC PC is (704) 896-8446.
- Does Jennifer Lidstrom Ms DC PC accept Medicare?
- Jennifer Lidstrom Ms DC PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jennifer Lidstrom Ms DC PC?
- The authorized official listed on Jennifer Lidstrom Ms DC PC's NPPES record is Jennifer Lidstrom, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jennifer Lidstrom Ms DC PC's NPI active?
- Yes — Jennifer Lidstrom Ms DC PC's NPI (1033125240) is active in the NPPES registry as of the last update on 2026-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.