Guadalupe Rosario Pacheco, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010311 Issued in GA

Practice address

4292 Memorial Dr Ste D
Decatur, GA 30032-1224

Phone

(470) 437-2967

NPI assigned

Feb 17, 2020

Last updated

Feb 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1114550209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 DELAMERE LN",
            "city": "REX",
            "state": "GA",
            "postal_code": "302731250",
            "telephone_number": "678-499-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4292 MEMORIAL DR STE D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321224",
            "telephone_number": "470-437-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "GUADALUPE",
        "middle_name": "ROSARIO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owls Retreat Inc.
• Olufunmi Rachael Oyewumi
• Maureen Nnenna Ozim, NURSE PRACTITIONER
• Leslye Howell Pace, M.D.
• Hailey Christine Wetta Pachciarz, PA-C
• Pact Atlanta Pharmacy LLC (Winn Way Pharmacy)
• Pact Atlanta, LLC
• Keerthi Reddy Padooru, MD
• Rekha Pagadala, AA
• Patricia Zartman Page, MS, CGC

• Chiropractor in Decatur, GA
• Providers in Decatur, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.