Organization Active NPI

Vitalistic Wave Chiropractic LLC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1003761859
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Jun 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ricardo Albino Diaz, DCNPI 1023882297
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.