Individual provider Active NPI

Eric Schenendorf, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1043336498
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008008 Issued in GA
Practice address
2690 Buford Hwy NE Ste 200
Atlanta, GA 30324-5453
Phone
(404) 869-6400
Fax
(470) 299-6558
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008008 GA Primary

Addresses

Primary practice location

2690 Buford Hwy NE Ste 200
Atlanta, GA 30324-5453

Mailing address

2690 Buford Hwy NE Ste 200
Atlanta, GA 30324-5453
Phone (404) 869-6400

Other practice location 1

1625 Pleasant Hill Rd Ste 215
Duluth, GA 30096-5863
Phone (470) 299-6859

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

LicenseStateTypeSpecialty
CHIR008008GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Spinal Health & Wellness Inc Past Accepting new patients
Gwinnett Spine Specialists LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043336498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 BUFORD HWY NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245453",
            "telephone_number": "404-869-6400",
            "fax_number": "470-299-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 BUFORD HWY NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245453",
            "telephone_number": "404-869-6400",
            "fax_number": "470-299-6558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Pleasant Hill Rd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300965863",
            "country_code": "US",
            "telephone_number": "470-299-6859",
            "fax_number": "470-299-8397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHENENDORF",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.