LIFETIME CHIROPRACTIC, P.A. (NPI# 1700984796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700984796 |
| Entity Type | Organization |
| Organization Name | LIFETIME CHIROPRACTIC, P.A. |
| Practice Address |
630 W Interstate 30 Ste 600 Garland TX 75043-5731 |
| Practice Telephone | 9722035800 |
| Practice Fax Number | 9722035814 |
| Mailing Telephone | 9722035800 |
| Mailing Fax Number | 9722035814 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DARLA DAVIS (PRESIDENT) |
| Authorized Official Telephone | 9722035800 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 10312 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0074NT | 01 |
| Street Address |
630 W INTERSTATE 30 STE 600 |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-5731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043431968 | J Neil Dukes Pllc | Chiropractor | 630 W Interstate 30, Suite 600, Garland, TX 75043-5731 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578128831 | Cody Academia | Chiropractor | 709 Water Oak Dr, Garland, TX 75044-2552 | 2019-05-02 |
| 1538642335 | Gordon Wendel Newell | Chiropractor | 6417 Faircove Cir, Garland, TX 75043-6100 | 2018-09-08 |
| 1689048084 | Ana Laura Bonilla | Chiropractor | 3630 N Shiloh Rd, Garland, TX 75044-6630 | 2015-11-23 |
| 1407230816 | Garland Wellness & Rehab Center, LLC | Chiropractor | 3112 N Jupiter Rd Ste 310, Garland, TX 75044-6564 | 2015-07-15 |
| 1386068682 | Oc Chiropractic | Chiropractor | 4750 N. Jupiter Rd, Ste 219, Garland, TX 75044 | 2014-02-07 |
| 1841544301 | Chiro One Wellness Center of Garland Pllc | Chiropractor | 375 Cedar Sage Dr, Suite 280, Garland, TX 75040-2990 | 2012-11-06 |
| 1699042762 | Stacey King Dc Pllc | Chiropractor | 1720 N 1st St, Ste A, Garland, TX 75040-4702 | 2011-11-17 |
| 1780908822 | Beau Lejeune Dc Pa | Chiropractor | 1332 Belt Line Rd, Ste A, Garland, TX 75040-3266 | 2010-03-18 |
| 1003057977 | Ronald Edward Kohlstrand Jr. | Chiropractor | 3250 W Walnut St, Garland, TX 75042-6307 | 2009-03-23 |
| 1194962373 | Dr. Andy Chiropractic | Chiropractor | 2334 W Buckingham Rd Ste 360, Garland, TX 75042-3940 | 2009-01-09 |
| Find all providers in GARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.