NPIMap

Organization Active NPI

Light Matters, LLC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1669018560
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIGHT MATTERS, LLC
Practice address
4400 W University Blvd Apt 17206
Dallas, TX 75209-3702
Phone
(817) 905-4369
Fax
(972) 645-2175
NPI assigned
Nov 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Dr. Judith-Ann Marie Knowles, DCNPI 1174779169
Title
President
Phone
(817) 905-4369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4400 W University Blvd Apt 17206
Dallas, TX 75209-3702

Mailing address

4400 W University Blvd Apt 17206
Dallas, TX 75209-3702
Phone (817) 905-4369

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1669018560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W UNIVERSITY BLVD APT 17206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093702",
            "telephone_number": "817-905-4369",
            "fax_number": "972-645-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W UNIVERSITY BLVD APT 17206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093702",
            "telephone_number": "817-905-4369",
            "fax_number": "972-645-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT MATTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "JUDITH-ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-905-4369",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.