Organization Active NPI

Advanced Family Wellness Group LLC

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1154719003
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008909 Issued in GA
Legal business name
ADVANCED FAMILY WELLNESS GROUP LLC
Practice address
555 Sun Valley Dr
Suite A3
Roswell, GA 30076-5612
Phone
(770) 485-7101
Fax
(770) 485-7101
NPI assigned
Dec 30, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Adam Trapp, DC, CCEP
Title
Doctor/Owner
Phone
(770) 485-7101

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008909 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

555 Sun Valley Dr
Suite A3
Roswell, GA 30076-5612

Mailing address

555 Sun Valley Dr
Suite A3
Roswell, GA 30076-5612
Phone (770) 485-7101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2014.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1154719003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR",
            "address_2": "SUITE A3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765612",
            "telephone_number": "770-485-7101",
            "fax_number": "770-485-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR",
            "address_2": "SUITE A3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765612",
            "telephone_number": "770-485-7101",
            "fax_number": "770-485-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "TRAPP",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "770-485-7101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCEP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.