NPIMap

Organization Active NPI

Atlanta Pain Specialists

  • Rehabilitation Chiropractor
  • Marietta, GA
National Provider Identifier
1013261833
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CHIR008149 Issued in GA
Legal business name
ATLANTA PAIN SPECIALISTS
Practice address
1720 Powers Ferry Rd SE
Suite 100
Marietta, GA 30067-5442
Phone
(412) 401-7905
NPI assigned
Oct 31, 2012
Last updated
Oct 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Dr. Dale Joseph Lebder, D.C.
Title
Ceo / Clinic Director
Phone
(412) 401-7905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X CHIR008149 GA Primary

Addresses

Primary practice location

1720 Powers Ferry Rd SE
Suite 100
Marietta, GA 30067-5442

Mailing address

2009 Whittier Ave NW
Atlanta, GA 30318-1030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1013261833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 WHITTIER AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 POWERS FERRY RD SE",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675442",
            "telephone_number": "412-401-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PAIN SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "LEBDER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO / CLINIC DIRECTOR",
        "authorized_official_telephone_number": "412-401-7905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR008149",
            "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 Oct 31, 2012; 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.