Individual provider Active NPI

Sonam Dolma, DC

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1043851058
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010202 Issued in GA
Practice address
115 Vickery St Ste 103
Roswell, GA 30075-4980
Phone
(404) 500-9216
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010202 GA Primary

Addresses

Primary practice location

115 Vickery St Ste 103
Roswell, GA 30075-4980

Mailing address

920 Pine Grove Pointe Dr
Roswell, GA 30075-2703
Phone (812) 483-1732

Other practice location 1

3755 Carmia Dr SW Ste 440
Atlanta, GA 30331-6253
Phone (404) 913-0926

Other names 1

  • Whitney Paige Hendrickson Former name

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
CHIR010202GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1043851058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PINE GROVE POINTE DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752703",
            "telephone_number": "812-483-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 VICKERY ST STE 103",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754980",
            "telephone_number": "404-500-9216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3755 Carmia Dr SW Ste 440",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303316253",
            "country_code": "US",
            "telephone_number": "404-913-0926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLMA",
        "first_name": "SONAM",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "HENDRICKSON",
            "middle_name": "PAIGE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.