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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LIFESTYLE CHANGE CHIROPRACTIC
NPI 1306744495
Chiropractor in Grand Prairie, TX

Active since October 28, 2026
1106 N STATE HIGHWAY 360 STE 203, GRAND PRAIRIE, TX 75050(817) 200-6061 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lifestyle Change Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESTYLE CHANGE CHIROPRACTIC (NPI 1306744495) is a healthcare organization registered as a chiropractor in Grand Prairie, Texas and active in the NPI registry since October 2026. The organization lists Martavious Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1306744495
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFESTYLE CHANGE CHIROPRACTIC
Location Address1106 N STATE HIGHWAY 360 STE 203Grand Prairie, TX 75050-2554
Mailing Address1106 N State Highway 360 Ste 203Grand Prairie, TX 75050-2554 · (817) 200-6061
Phone(817) 200-6061
Organization SubpartNo
Authorized OfficialMartavious TaylorOwner · (662) 996-7292
Enumeration DateOctober 28, 2026
NPPES CertifiedOctober 28, 2026
✔ NPI 1306744495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
1106 N STATE HIGHWAY 360 STE 203, Grand Prairie, TX 75050
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTAVIOUS TAYLOR DC
Chiropractor
1106 N STATE HIGHWAY 360 STE 203
GRAND PRAIRIE, TX 75050
Dallas County (817) 200-6061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifestyle Change Chiropractic's NPI number?

The NPI number for Lifestyle Change Chiropractic is 1306744495. It was assigned to this organization in the NPPES registry on October 28, 2026.

Where is Lifestyle Change Chiropractic located?

Lifestyle Change Chiropractic is located at 1106 N State Highway 360 Ste 203, Grand Prairie, TX 75050. The listed phone number is (817) 200-6061.

What is Lifestyle Change Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lifestyle Change Chiropractic was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.