Organization Active NPI

Cranial Life Force Center, Inc.

  • Chiropractor
  • Athens, GA
National Provider Identifier
1598991002
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR002608 Issued in GA
Legal business name
CRANIAL LIFE FORCE CENTER, INC.
Practice address
485 Huntington Rd
Suite 205
Athens, GA 30606-1861
Phone
(706) 353-1819
Fax
(706) 353-1802
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Dr. Heather A Koeppel, D.C.
Title
Officer
Phone
(706) 353-1819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR002608 GA Primary

Addresses

Primary practice location

485 Huntington Rd
Suite 205
Athens, GA 30606-1861

Mailing address

485 Huntington Rd
Suite 205
Athens, GA 30606-1861
Phone (706) 353-1819

National Provider Directory

National Provider Directory

Locations

485 Huntington Rd
Ste 205
Athens, GA 30606
Phone (706) 353-1819

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1598991002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD",
            "address_2": "SUITE 205",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061861",
            "telephone_number": "706-353-1819",
            "fax_number": "706-353-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD",
            "address_2": "SUITE 205",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061861",
            "telephone_number": "706-353-1819",
            "fax_number": "706-353-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIAL LIFE FORCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "KOEPPEL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "706-353-1819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.