Trindade Chiropractic Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006939 Issued in GA

Legal business name

TRINDADE CHIROPRACTIC CENTER, INC

Practice address

403 Macy Dr
Roswell, GA 30076-6353

Phone

(770) 993-5009

Fax

(770) 993-5118

NPI assigned

May 20, 2014

Last updated

May 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth MillerNPI 1215023379

Title

President

Phone

(770) 993-5009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Laura Miller, DC

  • Chiropractor
  • Roswell, GA
  • NPI 1215023379
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1205248671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766353",
            "telephone_number": "770-993-5009",
            "fax_number": "770-993-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766353",
            "telephone_number": "770-993-5009",
            "fax_number": "770-993-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINDADE CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-993-5009",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jayson Tripp, DO
• Tosha Nisarg Trivedi
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• Chiropractor in Roswell, GA
• Providers in Roswell, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.

Verify at the official NPI Registry.