Organization Active NPI

The Center for Life Enhancement LLC

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1306559992
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE CENTER FOR LIFE ENHANCEMENT LLC
Practice address
7851 Hickory Flat Hwy Ste 204
Woodstock, GA 30188-2352
Phone
(201) 588-3840
NPI assigned
Dec 29, 2022
Last updated
Dec 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Dr. John D'Ambrosio, DCNPI 1427274307
Title
Owner
Phone
(201) 588-3840

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7851 Hickory Flat Hwy Ste 204
Woodstock, GA 30188-2352

Mailing address

7851 Hickory Flat Hwy Ste 204
Woodstock, GA 30188-2352
Phone (201) 588-3840

National Provider Directory

National Provider Directory

Locations

7851 Hickory Flat Hwy
Ste 204
Woodstock, GA 30188
Phone (201) 588-3840

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": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1306559992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 HICKORY FLAT HWY STE 204",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882352",
            "telephone_number": "201-588-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 HICKORY FLAT HWY STE 204",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882352",
            "telephone_number": "201-588-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR LIFE ENHANCEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "D'AMBROSIO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-588-3840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.