Organization Active NPI

Atlanta Yajima Chiropractic LLC

  • Nutrition Chiropractor
  • Doraville, GA
National Provider Identifier
1154575223
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
ATLANTA YAJIMA CHIROPRACTIC LLC
Practice address
5000 Winters Chapel Rd Ste 1
Doraville, GA 30360-1746
Phone
(678) 855-6611
Fax
(678) 528-5097
NPI assigned
Nov 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Yoshiro Yajima, DCNPI 1033340351
Title
Owner
Phone
(770) 557-0706

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
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X Primary

Addresses

Primary practice location

5000 Winters Chapel Rd Ste 1
Doraville, GA 30360-1746

Mailing address

5000 Winters Chapel Rd Ste 1
Doraville, GA 30360-1746
Phone (770) 557-0706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090507000398 GA Part B Supplier - Clinic/Group Practice 2668520362 Receives reassigned benefits from 1 practitioner
Practice locations: Doraville, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1226793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1154575223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WINTERS CHAPEL RD STE 1",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303601746",
            "telephone_number": "770-557-0706",
            "fax_number": "470-299-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WINTERS CHAPEL RD STE 1",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303601746",
            "telephone_number": "678-855-6611",
            "fax_number": "678-528-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA YAJIMA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-16",
        "last_updated": "2022-05-05",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "YAJIMA",
        "authorized_official_first_name": "YOSHIRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-557-0706",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.