Organization Active NPI

Active Community Chiropractic, L.L.C.

  • Clinic/Center
  • Sandy Springs, GA
National Provider Identifier
1093028623
Registry record updated Jul 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIR008692 Issued in GA
Legal business name
ACTIVE COMMUNITY CHIROPRACTIC, L.L.C.
Practice address
5975 Roswell Rd NE
Suite a-109
Sandy Springs, GA 30328-4048
Phone
(678) 628-9925
NPI assigned
Jul 25, 2010
Last updated
Jul 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2010

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

Authorized official

Name
Dr. Hailey Elizabeth Heard, D.C.
Title
Owner
Phone
(678) 628-9925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CHIR008692 GA Primary

Addresses

Primary practice location

5975 Roswell Rd NE
Suite a-109
Sandy Springs, GA 30328-4048

Mailing address

1695 Terrell Ridge Dr SE
Marietta, GA 30067-6017
Phone (678) 628-9925

National Provider Directory

National Provider Directory

Locations

5975 Roswell Rd
Ste A109
Sandy Springs, GA 30328
Phone (678) 628-9925

Practitioners & affiliated clinicians

Practitioners 1

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": "1280016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280016000000",
    "number": "1093028623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 TERRELL RIDGE DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676017",
            "telephone_number": "678-628-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 ROSWELL RD NE",
            "address_2": "SUITE A-109",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284048",
            "telephone_number": "678-628-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE COMMUNITY CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-25",
        "last_updated": "2010-07-25",
        "status": "A",
        "authorized_official_last_name": "HEARD",
        "authorized_official_first_name": "HAILEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-628-9925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR008692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2010; 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.