Active NPI
Christine M Faller, D.C.
- Chiropractor
- Roswell, GA
National Provider Identifier
1083776595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR-008033
- Practice address
- 1775 Woodstock Rd
Suite 110
Roswell, GA 30075-2171 - Phone
- (678) 990-0510
- Fax
- (678) 990-0521
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR-008033 | GA | Primary |
Addresses
Primary practice location
1775 Woodstock Rd
Suite 110
Roswell, GA 30075-2171
Mailing address
1065 Bridge Mill Ave
Canton, GA 30114-7717
Phone (770) 704-1884
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR-008033 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County Medical | Past | Accepting new patients | |
| Synergy Medical Centers of Roswell, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Disabilities Residential Treatment Facility
- Roswell, GA
- NPI 1285680587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083776595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 BRIDGE MILL AVE",
"city": "CANTON",
"state": "GA",
"postal_code": "301147717",
"telephone_number": "770-704-1884",
"fax_number": "770-704-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 WOODSTOCK RD",
"address_2": "SUITE 110",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752171",
"telephone_number": "678-990-0510",
"fax_number": "678-990-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLER",
"first_name": "CHRISTINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR-008033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 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.