Dallas Chiropractic Life Center Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5007 Issued in GA

Legal business name

DALLAS CHIROPRACTIC LIFE CENTER INC.

Practice address

565 Hardee St
Dallas, GA 30132-4712

Phone

(770) 445-4600

Fax

(770) 445-3730

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Luciann U Moyher, D.C.NPI 1902983984

Title

Director

Phone

(770) 445-4600

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.

• Luciann U Moyher, D.C.

  • Chiropractor
  • Dallas, GA
  • NPI 1902983984
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467539437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 HARDEE ST",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324712",
            "telephone_number": "770-445-4600",
            "fax_number": "770-445-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 HARDEE ST",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324712",
            "telephone_number": "770-445-4600",
            "fax_number": "770-445-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS CHIROPRACTIC LIFE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOYHER",
        "authorized_official_first_name": "LUCIANN",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-445-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javon Paul Curry
• Heidi Joy Curtis
• Kristin Dabbelt, M.A., CCC-SLP
• Vickie Dabrofsky
• Dallas Acworth Chiropractic PA
• Dallas Dental Smiles
• Dallas Family Counseling Center
• Dallas Family Practice Center PA
• Dallas Prescription Shop, LLC
• Dallas Prescription Shop, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.