David Keith Pruitt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR001950 Issued in GA

Practice address

11943 Cumming Hwy
Canton, GA 30115-8129

Phone

(770) 887-7618

Fax

(770) 887-5961

NPI assigned

May 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053524553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11943 CUMMING HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158129",
            "telephone_number": "770-887-7618",
            "fax_number": "770-887-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11943 CUMMING HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158129",
            "telephone_number": "770-887-7618",
            "fax_number": "770-887-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "DAVID",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirali Patel Procter, DMD
• Progressive Therapy Associates Inc
• Prologue Surgical Assisting, LLC
• Provident Group - Canton Cove Properties LLC (Provident Village at Canton)
• Bronte M Pruitt
• Nadine Blase Psareas, CADC II, ICADC,
• PT Solutions of Acworth, LLC
• Publix Super Markets Inc (Publix Pharmacy #0711)
• Publix Super Markets Inc (Publix Pharmacy #0624)
• Publix Super Markets Inc (Publix Pharmacy #1248)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.