Individual provider Active NPI

Anthony C. Calabro, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1104609163
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010531 Issued in GA
Practice address
3605 Sandy Plains Rd Ste 115
Marietta, GA 30066-3065
Phone
(770) 670-6786
NPI assigned
Aug 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010531 GA Primary

Addresses

Primary practice location

3605 Sandy Plains Rd Ste 115
Marietta, GA 30066-3065

Mailing address

3605 Sandy Plains Rd Ste 115
Marietta, GA 30066-3065
Phone (770) 670-6786

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010531GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1104609163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 SANDY PLAINS RD STE 115",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663065",
            "telephone_number": "770-670-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 SANDY PLAINS RD STE 115",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663065",
            "telephone_number": "770-670-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABRO",
        "first_name": "ANTHONY",
        "middle_name": "C.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.