Organization Active NPI

Park Ridge Chiropractic Centre

  • Chiropractor
  • Chamblee, GA
National Provider Identifier
1144589433
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PARK RIDGE CHIROPRACTIC CENTRE
Practice address
2896 Chamblee Tucker Rd
Suite 4
Chamblee, GA 30341-4009
Phone
(770) 457-0584
Fax
(770) 457-0773
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Dr. Patrick Joseph Sallarulo, D.C.NPI 1912990300
Title
Owner
Phone
(770) 457-0584

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

2896 Chamblee Tucker Rd
Suite 4
Chamblee, GA 30341-4009

Mailing address

2896 Chamblee Tucker Rd
Suite 4
Chamblee, GA 30341-4009
Phone (770) 457-0584

Other names 1

  • Park Ridge Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1144589433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 CHAMBLEE TUCKER RD",
            "address_2": "SUITE 4",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414009",
            "telephone_number": "770-457-0584",
            "fax_number": "770-457-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2896 CHAMBLEE TUCKER RD",
            "address_2": "SUITE 4",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414009",
            "telephone_number": "770-457-0584",
            "fax_number": "770-457-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE CHIROPRACTIC CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "SALLARULO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-457-0584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Ridge Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.