Organization Active NPI

The Good Life Chiropractic & Wellness Center, LLC

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1205611522
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE GOOD LIFE CHIROPRACTIC & WELLNESS CENTER, LLC
Practice address
434 Bridgewater St
Fredericksburg, VA 22401-3304
Phone
(540) 372-9866
NPI assigned
Aug 25, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Penny M Dudley, D.C.NPI 1215950837
Title
Owner/Chiropractor
Phone
(540) 372-9866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

434 Bridgewater St
Fredericksburg, VA 22401-3304

Mailing address

434 Bridgewater St
Fredericksburg, VA 22401-3304
Phone (540) 372-9866

National Provider Directory

National Provider Directory

Locations

434 Bridgewater St
Fredericksburg, VA 22401
Phone (540) 372-9866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1205611522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 BRIDGEWATER ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013304",
            "telephone_number": "540-372-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 BRIDGEWATER ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013304",
            "telephone_number": "540-372-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD LIFE CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "540-372-9866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.