Organization Active NPI

Renaissance Chiropractic Health Center Inc

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1215079686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006033 Issued in GA
Legal business name
RENAISSANCE CHIROPRACTIC HEALTH CENTER INC
Practice address
8097 Roswell Rd
BLD D
Atlanta, GA 30350
Phone
(678) 320-9626
Fax
(678) 320-9686
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Isaac S Farbman, DC
Title
Doctor of Chiropractic President
Phone
(678) 320-9626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 006033 GA Primary

Addresses

Primary practice location

8097 Roswell Rd
BLD D
Atlanta, GA 30350

Mailing address

8097 Roswell Rd
BLD D
Atlanta, GA 30350
Phone (678) 320-9626

National Provider Directory

National Provider Directory

Locations

8097 Roswell Rd
Bldg D
Sandy Springs, GA 30350
Phone (678) 320-9626

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215079686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8097 ROSWELL RD",
            "address_2": "BLD D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30350",
            "telephone_number": "678-320-9626",
            "fax_number": "678-320-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8097 ROSWELL RD",
            "address_2": "BLD D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30350",
            "telephone_number": "678-320-9626",
            "fax_number": "678-320-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CHIROPRACTIC HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARBMAN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC PRESIDENT",
        "authorized_official_telephone_number": "678-320-9626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.