Lifegiving Chiropractic Roswell LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LIFEGIVING CHIROPRACTIC ROSWELL LLC

Practice address

625 W Crossville Rd Ste 126
Roswell, GA 30075-7504

Phone

(425) 891-9029

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

Joshua Daniel Ben, DCNPI 1457658551

Title

Owner

Phone

(425) 891-9029

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Joshua Daniel Ben, D.C.

  • Chiropractor
  • Roswell, GA
  • NPI 1457658551
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1407516644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W CROSSVILLE RD STE 126",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757504",
            "telephone_number": "425-891-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W CROSSVILLE RD STE 126",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757504",
            "telephone_number": "425-891-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGIVING CHIROPRACTIC ROSWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "BEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-891-9029",
        "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": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.