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Deactivated NPI 1487610622 Deactivated / Inactive NPI Male Practitioner

Dr. Dallas Lawrence Capistran , DC

Chiropractor • Montgomery, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dallas Capistran has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 25, 2006
NPI Deactivation Date November 22, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Dallas Capistran, DC was a registered Chiropractor practicing in Montgomery, AL. Throughout an active medical career spanning 17 years, Dr. Capistran provided care at the practice location at 4145 WALL ST until profile deactivation on 2023-11-22.

Practice Location & Contact Primary Location

Practice Address

4145 Wall St

Montgomery, AL 361062862

Telephone 3342778699
Fax 3342397802

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Montgomery, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.4 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
40 Specialists

Practicing in Montgomery, AL (958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License AL 0870

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 22, 2023

Record deactivated on November 22, 2023

NPI Profile Active September 24, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 24, 2007

Registered at 4145 WALL ST, MONTGOMERY, AL 361062862 (Tel: 3342778699)

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Updated Business Mailing Address September 24, 2007

Registered at 4145 WALL ST, MONTGOMERY, AL 361062862 (Tel: 3342778699)

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Provider Name / Credentials Updated September 24, 2007

Recorded as DALLAS CAPISTRAN, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2007

Chiropractor (License #0870 in AL)

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Initial NPI Registration & Enumeration April 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487610622
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2006
Last Update: September 24, 2007
Deactivation Date: November 22, 2023

Mailing Address

4145 Wall St

Montgomery, AL 361062862

Phone: 3342778699

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.