NPIMap

Organization Active NPI

Optimum Health Chiropractic, P.C.

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1033312178
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO07313 Issued in GA
Legal business name
OPTIMUM HEALTH CHIROPRACTIC, P.C.
Practice address
10917 Highway 92
Suite 160
Woodstock, GA 30188-6329
Phone
(770) 592-1915
Fax
(770) 592-1215
NPI assigned
Jun 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cathyjo Wendland, D.C.
Title
Owner
Phone
(770) 592-1915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO07313 GA Primary

Addresses

Primary practice location

10917 Highway 92
Suite 160
Woodstock, GA 30188-6329

Mailing address

10917 Highway 92
Suite 160
Woodstock, GA 30188-6329
Phone (770) 592-1915

National Provider Directory

National Provider Directory

Locations

10917 Highway 92
Ste 160
Woodstock, GA 30188
Phone (770) 592-1915

Practitioners & affiliated clinicians

Practitioners 4

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033312178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10917 HIGHWAY 92",
            "address_2": "SUITE 160",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886329",
            "telephone_number": "770-592-1915",
            "fax_number": "770-592-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10917 HIGHWAY 92",
            "address_2": "SUITE 160",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886329",
            "telephone_number": "770-592-1915",
            "fax_number": "770-592-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WENDLAND",
        "authorized_official_first_name": "CATHYJO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-592-1915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.