NPIMap

Organization Active NPI

Abundant Life Chiropractic Health Centre, Inc.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1013134782
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007784 Issued in MI
Legal business name
ABUNDANT LIFE CHIROPRACTIC HEALTH CENTRE, INC.
Practice address
3910 Charlemagne Way SW
Marietta, GA 30064-1587
Phone
(770) 424-0453
Fax
(810) 715-1245
NPI assigned
Apr 20, 2007
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. Lonie C Harris, D.C.NPI 1568590941
Title
President, Ceo
Phone
(810) 715-1225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2301007784 MI Primary

Addresses

Primary practice location

3910 Charlemagne Way SW
Marietta, GA 30064-1587

Mailing address

3910 Charlemagne Way SW
Marietta, GA 30064-1587
Phone (770) 424-0453

National Provider Directory

National Provider Directory

Locations

1358 E Bristol Rd
Burton, MI 48529
Phone (810) 715-1225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1013134782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 CHARLEMAGNE WAY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641587",
            "telephone_number": "770-424-0453",
            "fax_number": "810-715-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CHARLEMAGNE WAY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641587",
            "telephone_number": "770-424-0453",
            "fax_number": "810-715-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE CHIROPRACTIC HEALTH CENTRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LONIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "810-715-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.