Organization Active NPI

East Cobb Health

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1124369210
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO08994 Issued in GA
Legal business name
EAST COBB HEALTH
Practice address
3939 Roswell Rd Ste 10
Marietta, GA 30062-8812
Phone
(770) 509-6755
Fax
(678) 669-2695
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Dr. Jason Pero
Title
President
Phone
(770) 509-6755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIRO08994 GA Primary

Addresses

Primary practice location

3939 Roswell Rd Ste 10
Marietta, GA 30062-8812

Mailing address

3939 Roswell Rd Ste 10
Marietta, GA 30062-8812
Phone (770) 509-6755

National Provider Directory

National Provider Directory

Locations

3939 Roswell Rd
Ste 10
Marietta, GA 30062
Phone (770) 509-6755

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1124369210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 ROSWELL RD STE 10",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628812",
            "telephone_number": "770-509-6755",
            "fax_number": "678-669-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ROSWELL RD STE 10",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628812",
            "telephone_number": "770-509-6755",
            "fax_number": "678-669-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COBB HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "PERO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-509-6755",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08994",
            "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 Mar 14, 2013; 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.