Active NPI
Vitalistic Wave Chiropractic LLC
- Chiropractor
- Atlanta, GA
National Provider Identifier
1003761859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- VITALISTIC WAVE CHIROPRACTIC LLC
- Practice address
- 1600 Parkwood Cir SE Ste 500
Atlanta, GA 30339-2147 - Phone
- (404) 908-2150
- Fax
- (770) 264-3652
- NPI assigned
- Feb 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ricardo Albino Diaz, DC
- Title
- Owner
- Phone
- (787) 585-9475
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1600 Parkwood Cir SE Ste 500
Atlanta, GA 30339-2147
Mailing address
1600 Parkwood Cir SE Ste 500
Atlanta, GA 30339-2147
Phone (404) 908-2150
National Provider Directory
National Provider DirectoryLocations
1600 Parkwood Cir SE
Ste 500
Atlanta, GA 30339
Phone (404) 908-2150
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Atlanta, GA
- NPI 1023882297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1003761859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PARKWOOD CIR SE STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392147",
"telephone_number": "404-908-2150",
"fax_number": "770-264-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PARKWOOD CIR SE STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392147",
"telephone_number": "404-908-2150",
"fax_number": "770-264-3652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALISTIC WAVE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-26",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "ALBINO DIAZ",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-585-9475",
"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 Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.