Active NPI
East Cobb Health
- Chiropractor
- Marietta, GA
National Provider Identifier
1124369210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO08994
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.