Active NPI
Eric Schenendorf, D.C.
- Chiropractor
- Atlanta, GA
National Provider Identifier
1043336498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008008
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008008 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Physician
- Atlanta, GA
- NPI 1629329008
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.