Organization Active NPI

Cafe of Life, Inc

Doing business as Cafe of Life

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1336471739
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2850 Issued in SC
Legal business name
CAFE OF LIFE, INC
Doing business as
Cafe of Life
Practice address
1429 Augusta St
Greenville, SC 29605-4027
Phone
(864) 233-4568
NPI assigned
Feb 10, 2010
Last updated
Feb 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Dr. Gautier Andre Lalin, D.C.
Title
President
Phone
(864) 233-4568

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2850 SC Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3466 SC

Addresses

Primary practice location

1429 Augusta St
Greenville, SC 29605-4027

Mailing address

1429 Augusta St
Greenville, SC 29605-4027
Phone (864) 233-4568

Other names 1

  • Cafe of Life Doing business as

National Provider Directory

National Provider Directory

Locations

1429 Augusta St
Greenville, SC 29605
Phone (864) 233-4568

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": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1336471739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 AUGUSTA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054027",
            "telephone_number": "864-233-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 AUGUSTA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054027",
            "telephone_number": "864-233-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAFE OF LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "LALIN",
        "authorized_official_first_name": "GAUTIER",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-233-4568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2850",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cafe of Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.