Organization Active NPI

Enhanced Wellness Chiropractic

  • Chiropractor
  • Johns Creek, GA
National Provider Identifier
1104379676
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009680 Issued in GA
Legal business name
ENHANCED WELLNESS CHIROPRACTIC
Practice address
6395 McGinnis Ferry Rd Ste 301
Johns Creek, GA 30005-3673
Phone
(770) 552-7500
NPI assigned
Aug 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Dr. Yahdi Cotto, DC
Title
Independant Contractor Chiropractor
Phone
(787) 365-9151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009680 GA Primary

Addresses

Primary practice location

6395 McGinnis Ferry Rd Ste 301
Johns Creek, GA 30005-3673

Mailing address

900 Venue Way Apt 9212
Alpharetta, GA 30005-4565
Phone (787) 365-9151

National Provider Directory

National Provider Directory
Tax ID family
Enhanced Wellness Clinics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1104379676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VENUE WAY APT 9212",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054565",
            "telephone_number": "787-365-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6395 MCGINNIS FERRY RD STE 301",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300053673",
            "telephone_number": "770-552-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED WELLNESS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "COTTO",
        "authorized_official_first_name": "YAHDI",
        "authorized_official_title_or_position": "INDEPENDANT CONTRACTOR CHIROPRACTOR",
        "authorized_official_telephone_number": "787-365-9151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.