Active NPI
The Good Life Chiropractic & Wellness Center, LLC
- Chiropractor
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Chiropractor
- Fredericksburg, VA
- NPI 1215950837
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.