Optimum Performance Chiropractic & Wellness LLC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OPTIMUM PERFORMANCE CHIROPRACTIC & WELLNESS LLC.

Doing business as

Living Proof Chiropractic

Practice address

1301 Shiloh Rd NW Ste 420
Kennesaw, GA 30144-7152

Phone

(703) 084-1084

NPI assigned

May 13, 2022

Last updated

Jul 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Ferrante, DCNPI 1841838356

Title

President and Ceo

Phone

(470) 308-4108

Specialties & licenses 1

Addresses

Other names 1

• Living Proof Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Optimum Performance Chiropractic Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Optimum Performance Chiropractic & Wellness LLC.

  dba Living Proof Chiropractic

  • Chiropractor
  • Johns Creek, GA
  • NPI 1801570742
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Optimum Performance Chiropractic & Wellness LLC.

  dba Living Proof Chiropractic

  • Chiropractor
  • Johns Creek, GA
  • NPI 1801570742
  NPPES parent name

Practitioners 4

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.

• James Paul Ferrante Jr., DC

  • Chiropractor
  • Kennesaw, GA
  • NPI 1841838356
  Medicare reassignment NPD Authorized official
• Harley Alexander Davidson, D.C.

  • Chiropractor
  • Kennesaw, GA
  • NPI 1811825383
  NPD (past)
• Ross J Deacon, DC

  • Chiropractor
  • Lagrange, GA
  • NPI 1528951449
  NPD (past)
• Duncan Van Schalkwyk, DC

  • Chiropractor
  • Fort Mill, SC
  • NPI 1417683210
  NPD (past)

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1114664976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 420",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447152",
            "telephone_number": "470-308-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 420",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447152",
            "telephone_number": "703-084-1084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11130 State Bridge Rd Ste C102",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300222640",
            "country_code": "US",
            "telephone_number": "770-521-9008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMUM PERFORMANCE CHIROPRACTIC & WELLNESS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "FERRANTE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "470-308-4108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Proof Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.