Organization Active NPI

Radin Chiropractic Inc

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1053664805
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007569 Issued in GA
Legal business name
RADIN CHIROPRACTIC INC
Practice address
2300 Shallowford Rd
Suite 8
Marietta, GA 30066-2075
Phone
(770) 926-1669
Fax
(770) 926-2155
NPI assigned
Oct 17, 2012
Last updated
Oct 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Dr. David A Radin, D.CNPI 1033285440
Title
Owner / Chiropractor
Phone
(770) 926-1669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007569 GA Primary

Addresses

Primary practice location

2300 Shallowford Rd
Suite 8
Marietta, GA 30066-2075

Mailing address

2300 Shallowford Rd
Suite 8
Marietta, GA 30066-2075
Phone (770) 926-1669

Other identifiers 1

IdentifierTypeStateIssuer
1033285440OtherGATYPE 1 NPI / NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM

National Provider Directory

National Provider Directory

Locations

2300 Shallowford Rd
Ste 8
Marietta, GA 30066
Phone (678) 549-4863

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1053664805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SHALLOWFORD RD",
            "address_2": "SUITE 8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662075",
            "telephone_number": "770-926-1669",
            "fax_number": "770-926-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SHALLOWFORD RD",
            "address_2": "SUITE 8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662075",
            "telephone_number": "770-926-1669",
            "fax_number": "770-926-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "RADIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "770-926-1669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI  / NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM",
            "identifier": "1033285440",
            "state": "GA"
        }
    ],
    "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 Oct 17, 2012; 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.