Organization Active NPI

Crandall Chiropractic Center

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1013225481
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008571 Issued in GA
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

Updated by the provider on Sep 20, 2010

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.