Active NPI
Joel Louis Desaulniers, DC
- Chiropractor
- Smyrna, GA
National Provider Identifier
1033285481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1836
- Practice address
- 545 Concord Rd SE
SE
Smyrna, GA 30082-2609 - Phone
- (770) 432-9290
- Fax
- (770) 319-6377
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1836 | GA | Primary |
Addresses
Primary practice location
545 Concord Rd SE
SE
Smyrna, GA 30082-2609
Mailing address
545 Concord Rd SE
Smyrna, GA 30082-2609
Phone (770) 432-9290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1836 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smyrna Advance Chiropractic Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Smyrna, GA
- NPI 1245445576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1033285481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 CONCORD RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822609",
"telephone_number": "770-432-9290",
"fax_number": "770-319-6377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 CONCORD RD SE",
"address_2": "SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822609",
"telephone_number": "770-432-9290",
"fax_number": "770-319-6377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAULNIERS",
"first_name": "JOEL",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "1836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.