Organization Active NPI

Holistic Chiropractic, LLC

  • Chiropractor
  • Lagrange, GA
National Provider Identifier
1083807481
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007411 Issued in GA
Legal business name
HOLISTIC CHIROPRACTIC, LLC
Practice address
299 Commerce Ave
Lagrange, GA 30241-2345
Phone
(706) 837-9933
Fax
(706) 882-3606
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Eric N Codner, D.C.NPI 1396766879
Title
Owner
Phone
(706) 837-9933

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR007411 GA Primary

Addresses

Primary practice location

299 Commerce Ave
Lagrange, GA 30241-2345

Mailing address

299 Commerce Ave
Lagrange, GA 30241-2345
Phone (706) 837-9933

National Provider Directory

National Provider Directory

Locations

299 Commerce Ave
Ste B
Lagrange, GA 30241
Phone (706) 337-9933

299 Commerce Ave
Lagrange, GA 30241
Phone (706) 837-9933

Practitioners & affiliated clinicians

Practitioners 1

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": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1083807481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 COMMERCE AVE",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412345",
            "telephone_number": "706-837-9933",
            "fax_number": "706-882-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 COMMERCE AVE",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412345",
            "telephone_number": "706-837-9933",
            "fax_number": "706-882-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "CODNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-837-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.