TN Chiropractic Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009221 Issued in GA

Legal business name

TN CHIROPRACTIC CLINIC, LLC

Practice address

1848 Old Norcross Rd Ste A400
Lawrenceville, GA 30044-2311

Phone

(678) 205-5546

Fax

(678) 205-8440

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Truong Quang Nguyen, D.C.

Title

Doctor of Chiropractic

Phone

(678) 900-7361

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandy Junior Rodriguez de Jesus, DC

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1619757770
  NPD (past)

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1043602170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 OLD NORCROSS RD STE A400",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442311",
            "telephone_number": "678-205-5546",
            "fax_number": "678-205-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 OLD NORCROSS RD STE A400",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442311",
            "telephone_number": "678-205-5546",
            "fax_number": "678-205-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRUONG",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "678-900-7361",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ephesian Tisdale, RBT
• Olivia Tishman, OTD, OTR/L
• Jacqueline Elizabeth Tizol-Urena, PAC
• TLC for Women
• TLN Professional Services II, PC
• TNT Consultants Incorporated
• To Nga Thi Dinh LLC
• To Our Shores, Inc
• To Our Shores, Inc
• To the Point Transport

• Chiropractor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.