NPIMap

Organization Active NPI

Church Street Chiropractic, Inc

  • Chiropractor
  • Riverdale, GA
National Provider Identifier
1144691734
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHURCH STREET CHIROPRACTIC, INC
Practice address
7075 Church St
Riverdale, GA 30274-2306
Phone
(770) 907-0000
Fax
(770) 991-5012
NPI assigned
Oct 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Dr. Robert Waikel, M.D.NPI 1891706651
Title
Physician
Phone
(770) 907-0000

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 GA Primary

Addresses

Primary practice location

7075 Church St
Riverdale, GA 30274-2306

Mailing address

7075 Church St
Riverdale, GA 30274-2306
Phone (770) 907-0000

National Provider Directory

National Provider Directory

Locations

7075 Church St
Riverdale, GA 30274
Phone (770) 907-0000

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": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1144691734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 CHURCH ST",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742306",
            "telephone_number": "770-907-0000",
            "fax_number": "770-991-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 CHURCH ST",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742306",
            "telephone_number": "770-907-0000",
            "fax_number": "770-991-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH STREET CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "WAIKEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-907-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.