Organization Active NPI

Centro Hopkins Chiropractic

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1194083261
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CENTRO HOPKINS CHIROPRACTIC
Practice address
2645 N Berkeley Lake Rd NW
Ste. D-126
Duluth, GA 30096-3002
Phone
(678) 957-1050
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Phillip Im, D.C.
Title
Owner
Phone
(678) 571-7140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2645 N Berkeley Lake Rd NW
Ste. D-126
Duluth, GA 30096-3002

Mailing address

2645 N Berkeley Lake Rd NW
Ste. D-126
Duluth, GA 30096-3002
Phone (678) 957-1050

National Provider Directory

National Provider Directory

Locations

2645 N Berkeley Lake Rd NW
Ste D126
Duluth, GA 30096
Phone (678) 957-1050

2645 N Berkeley Lake Rd NW
Ste 126
Duluth, GA 30096
Phone (678) 571-7140

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1194083261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 N BERKELEY LAKE RD NW",
            "address_2": "STE. D-126",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963002",
            "telephone_number": "678-957-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N BERKELEY LAKE RD NW",
            "address_2": "STE. D-126",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963002",
            "telephone_number": "678-957-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO HOPKINS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-571-7140",
        "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": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.