Active NPI
Dimola Famiily Chiropractic Inc
- Chiropractor
- Woodstock, GA
National Provider Identifier
1164633863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR005520
- Legal business name
- DIMOLA FAMIILY CHIROPRACTIC INC
- Practice address
- 221 River Park North Dr
Woodstock, GA 30188-7835 - Phone
- (770) 924-1995
- NPI assigned
- May 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Dimola
- Title
- Chiropractor
- Phone
- (770) 924-1995
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR005520 | GA | Primary |
Addresses
Primary practice location
221 River Park North Dr
Woodstock, GA 30188-7835
Mailing address
4515 Dennington Trce
Cumming, GA 30040-8551
Phone (770) 889-8941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
221 River Park North Dr
Woodstock, GA 30188
Phone (770) 924-1995
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Woodstock, GA
- NPI 1295780708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674432000000",
"number": "1164633863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 DENNINGTON TRCE",
"city": "CUMMING",
"state": "GA",
"postal_code": "300408551",
"telephone_number": "770-889-8941",
"fax_number": "770-924-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 RIVER PARK NORTH DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301887835",
"telephone_number": "770-924-1995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIMOLA FAMIILY CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A",
"authorized_official_last_name": "DIMOLA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "770-924-1995",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR005520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.