=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659215093
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DFA CHIROPRACTIC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/16/2026
-----------------------------------------------------
Last Update Date | 04/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7000 PEACHTREE DUNWOODY RD BLDG 14
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30328-1655
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-884-3948
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7000 PEACHTREE DUNWOODY RD BLDG 14
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30328-1655
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-884-3948
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO, DOCTOR OF CHIROPRACTIC
-----------------------------------------------------
Name | DR. CRAIG JAMES ALLEN
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 360-271-1782
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NR0400X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------