NPIMap

Organization Active NPI

Marietta Chiropractic Clinic,LLC

  • Clinic/Center
  • Marietta, GA
National Provider Identifier
1053597013
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
00061145 Issued in GA
Legal business name
MARIETTA CHIROPRACTIC CLINIC,LLC
Practice address
596 Seminole Dr NE
Marietta, GA 30060-1508
Phone
(770) 428-4909
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Mrs. Brenda J Murphy
Title
Office Manager
Phone
(770) 428-4909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 00061145 GA Primary

Addresses

Primary practice location

596 Seminole Dr NE
Marietta, GA 30060-1508

Mailing address

596 Seminole Dr NE
Marietta, GA 30060-1508
Phone (770) 428-4909

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1053597013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 SEMINOLE DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601508",
            "telephone_number": "770-428-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 SEMINOLE DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601508",
            "telephone_number": "770-428-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA CHIROPRACTIC CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-428-4909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "00061145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.