Esther Widjaja

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010066 Issued in GA

Practice address

6050 Peachtree Pkwy Ste 420
Peachtree Corners, GA 30092-3362

Phone

(770) 744-5810

NPI assigned

Jun 7, 2018

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Righteous Rivers LLC

  dba Phoenix Chiropractic

  • Chiropractor
  • Peachtree Corners, GA
  • NPI 1720571508
  Authorized official Same address or phone

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1124511902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 PEACHTREE PKWY STE 420",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 PEACHTREE PKWY STE 420",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923362",
            "telephone_number": "770-744-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDJAJA",
        "first_name": "ESTHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E Whitaker, LCSW
• Jessica White, RD, LD, NBC-HWC
• Eric Whiteside
• Rachelle Wicker, LCSW
• Kara Wickman, LCSW
• Johnna Wilford
• Sintria L Williams-Ragin
• Ronnie Williams Jr.
• Chrystol Wilson-Payne
• In Ka Wong

• Chiropractor in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.