Active NPI
Crandall Chiropractic Center
- Chiropractor
- Marietta, GA
National Provider Identifier
1013225481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008571
- Legal business name
- CRANDALL CHIROPRACTIC CENTER
- Practice address
- 590 Cobb Pkwy S
Marietta, GA 30060-6517 - Phone
- (770) 217-3272
- Fax
- (678) 905-9080
- NPI assigned
- Sep 20, 2010
- 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. Theresa Marie Crandall, DC
- Title
- Chiropractor
- Phone
- (770) 630-0083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008571 | GA | Primary |
Addresses
Primary practice location
590 Cobb Pkwy S
Marietta, GA 30060-6517
Mailing address
590 Cobb Pkwy S
Marietta, GA 30060-6517
Phone (770) 217-3272
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284940800000",
"number": "1013225481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 COBB PKWY S",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300606517",
"telephone_number": "770-217-3272",
"fax_number": "678-905-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 COBB PKWY S",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300606517",
"telephone_number": "770-217-3272",
"fax_number": "678-905-9080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRANDALL CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A",
"authorized_official_last_name": "CRANDALL",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "770-630-0083",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008571",
"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 Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.