Organization Active NPI

Jay Goldklang DC, PC

  • Chiropractor
  • Hiram, GA
National Provider Identifier
1205015195
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO04911 Issued in GA
Legal business name
JAY GOLDKLANG DC, PC
Practice address
4345 Atlanta Hwy
Hiram, GA 30141-1827
Phone
(770) 943-8600
Fax
(770) 505-2889
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Jay Goldklang, DC
Title
Owner
Phone
(770) 943-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIRO04911 GA Primary

Addresses

Primary practice location

4345 Atlanta Hwy
Hiram, GA 30141-1827

Mailing address

4799 Fairville CT
Marietta, GA 30062-6479
Phone (770) 943-8600

Other names 1

  • Loving Touch Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4215 Jimmy Lee Smith Pkwy
#3
Hiram, GA 30141
Phone (770) 943-8600

126 Enterprise Path
Ste 107
Hiram, GA 30141
Phone (678) 567-9197

4345 Atlanta Hwy
Hiram, GA 30141
Phone (770) 505-2880

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": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1205015195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4799 FAIRVILLE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626479",
            "telephone_number": "770-943-8600",
            "fax_number": "770-505-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 ATLANTA HWY",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301411827",
            "telephone_number": "770-943-8600",
            "fax_number": "770-505-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY GOLDKLANG DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "GOLDKLANG",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-943-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO04911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loving Touch Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.