Individual provider Active NPI

Megan Elizabeth Esparza, DC

  • Chiropractor
  • Kennesaw, GA
National Provider Identifier
1194397406
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010367 Issued in GA
Practice address
3450 Acworth Due West Rd NW Ste 500
Kennesaw, GA 30144-1121
Phone
(770) 974-5215
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010367 GA Primary

Addresses

Primary practice location

3450 Acworth Due West Rd NW Ste 500
Kennesaw, GA 30144-1121

Mailing address

230 Parkway CT
Dallas, GA 30157-2177
Phone (920) 344-8963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010367GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Pointe Wellness Center Chiropractor CurrentSince Jul 25, 2021 Accepting new patients
Lake Pointe Chiropractic LLC Chiropractor PastSince Jul 25, 2021 Accepting new patients

Locations

3450 Acworth Due West Rd NW
Ste 500
Kennesaw, GA 30144
Phone (770) 974-5215

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1194397406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PARKWAY CT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301572177",
            "telephone_number": "920-344-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW STE 500",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441121",
            "telephone_number": "770-974-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPARZA",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.