Organization Active NPI

Dallas Chiropractic Relief PLC

  • Chiropractor
  • Lansing, MI
National Provider Identifier
1306997945
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005663 Issued in MI
Legal business name
DALLAS CHIROPRACTIC RELIEF PLC
Practice address
1505 W Holmes Rd
Lansing, MI 48910-4330
Phone
(517) 882-0251
Fax
(517) 882-2724
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Dr. John Lafayette Dallas, B.SC.,D.C.,C.C.S.P.NPI 1902835408
Title
Director Owner
Phone
(517) 882-0251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301005663 MI Primary

Addresses

Primary practice location

1505 W Holmes Rd
Lansing, MI 48910-4330

Mailing address

1505 W Holmes Rd
Lansing, MI 48910-4330
Phone (517) 882-0251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090323000020 MI Part B Supplier - Clinic/Group Practice 8729145578 Receives reassigned benefits from 1 practitioner
Practice locations: Lansing, MI

National Provider Directory

National Provider Directory

Locations

1505 W Holmes Rd
Lansing, MI 48910
Phone (517) 882-0251

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1306997945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W HOLMES RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489104330",
            "telephone_number": "517-882-0251",
            "fax_number": "517-882-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W HOLMES RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489104330",
            "telephone_number": "517-882-0251",
            "fax_number": "517-882-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS CHIROPRACTIC RELIEF PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LAFAYETTE",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "517-882-0251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.SC.,D.C.,C.C.S.P."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.