Individual provider Active NPI

David Michael Taillefer, D.C.

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1134312838
Registry record updated Aug 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006448 Issued in GA
Practice address
9820 Highway 92
Suite E
Woodstock, GA 30188-6425
Phone
(678) 799-6696
NPI assigned
Aug 25, 2007
Last updated
Aug 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006448 GA Primary

Addresses

Primary practice location

9820 Highway 92
Suite E
Woodstock, GA 30188-6425

Mailing address

9820 Highway 92
Suite E
Woodstock, GA 30188-6425
Phone (678) 799-6696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR006448GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Clinic, Inc. Chiropractor Past Accepting new patients
Haralson Spinal Clinics,Inc. Chiropractor Past Accepting new patients
Aica Orthopedics, P.C. Chiropractor Past Accepting new patients
Athens Chiropractic & Therapy Chiropractor Past Accepting new patients
Advance Spinal Care of Georgia Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188000000000",
    "number": "1134312838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 HIGHWAY 92",
            "address_2": "SUITE E",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886425",
            "telephone_number": "678-799-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 HIGHWAY 92",
            "address_2": "SUITE E",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886425",
            "telephone_number": "678-799-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAILLEFER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; 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.