Stephenie Dallas, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR011355 Issued in GA

Practice address

1568 Indian Trail Lilburn Rd Ste 105
Norcross, GA 30093-2699

Phone

(770) 696-2404

NPI assigned

Mar 3, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maxliving Norcross LLC

  • Chiropractor
  • Norcross, GA
  • NPI 1831044932
  Medicare reassignment NPD Authorized official
• Injury and Rehab Centers of Georgia, LLC

  • Chiropractor
  • Norcross, GA
  • NPI 1063945947
  NPD (past)

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1396690491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 INDIAN TRAIL LILBURN RD STE 105",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932699",
            "telephone_number": "770-696-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 INDIAN TRAIL LILBURN RD STE 105",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932699",
            "telephone_number": "770-696-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "STEPHENIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie M. Crusor, MD
• CSC Health Services Inc
• Jasmine Culpepper
• Leslie Curry
• D.a.M.C Dental & Medical Resources 1 LLC., (Smile With ConfiDent)
• William Kevin Dancy, DDS
• Ashley Hang Dang, DNP, RN, BSN
• Tiffany Dang, D.M.D.
• Daniel Sui
• Cheney Christian Daniel, D.C.

• Chiropractor in Norcross, GA
• Providers in Norcross, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.