NPIMap

Organization Active NPI

Neurobalance Center of Atlanta, LLC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1124529599
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEUROBALANCE CENTER OF ATLANTA, LLC
Practice address
3282 Buckeye Rd
Atlanta, GA 30341-4217
Phone
(770) 455-4600
Fax
(770) 455-7799
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Dr. Jonathan Siegel, DCNPI 1508289869
Title
Owner
Phone
(215) 962-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3282 Buckeye Rd
Atlanta, GA 30341-4217

Mailing address

3282 Buckeye Rd
Atlanta, GA 30341-4217
Phone (215) 962-9333

National Provider Directory

National Provider Directory

Locations

3282 Buckeye Rd
Atlanta, GA 30341
Phone (215) 962-9333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1124529599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 BUCKEYE RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414217",
            "telephone_number": "215-962-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 BUCKEYE RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414217",
            "telephone_number": "770-455-4600",
            "fax_number": "770-455-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBALANCE CENTER OF ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-962-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.