Organization Active NPI

Heritage Chiropractic Clinc Inc

  • Chiropractor
  • Snellville, GA
National Provider Identifier
1144311408
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR0001971 Issued in GA
Legal business name
HERITAGE CHIROPRACTIC CLINC INC
Practice address
2407 Lenora Church Road
Snellville, GA 30078-6916
Phone
(770) 979-2731
Fax
(770) 972-2978
NPI assigned
Sep 28, 2006
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Geoffrey Alen Sandels Jr., DCNPI 1457534620
Title
President
Phone
(770) 979-2731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR0001971 GA Primary

Addresses

Primary practice location

2407 Lenora Church Road
Snellville, GA 30078-6916

Mailing address

2407 Lenora Church Road
Snellville, GA 60078-6916
Phone (770) 979-2731

Other names 1

  • Dr Geoffrey A Sandels DC Former legal business name

National Provider Directory

National Provider Directory

Locations

2407 Lenora Church Rd
Snellville, GA 30078
Phone (470) 519-8370

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1144311408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 LENORA CHURCH ROAD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "600786916",
            "telephone_number": "770-979-2731",
            "fax_number": "770-972-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 LENORA CHURCH ROAD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786916",
            "telephone_number": "770-979-2731",
            "fax_number": "770-972-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CHIROPRACTIC CLINC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "SANDELS",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "ALEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-979-2731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR0001971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Geoffrey A Sandels DC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.