Active NPI
Demyen Family Chiropractic Inc
- Chiropractor
- Canton, GA
National Provider Identifier
1063748366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO006748
- Legal business name
- DEMYEN FAMILY CHIROPRACTIC INC
- Practice address
- 6199 Hickory Flat Hwy
Suite 142
Canton, GA 30115-7255 - Phone
- (770) 720-2222
- Fax
- (866) 591-5729
- NPI assigned
- Oct 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph T Demyen Jr., D.C.
- Title
- President
- Phone
- (770) 720-2222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO006748 | GA | Primary |
Addresses
Primary practice location
6199 Hickory Flat Hwy
Suite 142
Canton, GA 30115-7255
Mailing address
6199 Hickory Flat Hwy
Suite 142
Canton, GA 30115-7255
Phone (770) 720-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6199 Hickory Flat Hwy
Ste 142
Canton, GA 30115
Phone (770) 720-2222
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Suwanee, GA
- NPI 1770789257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444176000000",
"number": "1063748366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6199 HICKORY FLAT HWY",
"address_2": "SUITE 142",
"city": "CANTON",
"state": "GA",
"postal_code": "301157255",
"telephone_number": "770-720-2222",
"fax_number": "866-591-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6199 HICKORY FLAT HWY",
"address_2": "SUITE 142",
"city": "CANTON",
"state": "GA",
"postal_code": "301157255",
"telephone_number": "770-720-2222",
"fax_number": "866-591-5729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEMYEN FAMILY CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-22",
"last_updated": "2015-10-07",
"status": "A",
"authorized_official_last_name": "DEMYEN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-720-2222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO006748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.