Organization Active NPI

Grace Chiropractic

  • Chiropractor
  • Norcross, GA
National Provider Identifier
1215145248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO5491 Issued in GA
Legal business name
GRACE CHIROPRACTIC
Practice address
5730 Buford Hwy Ste L
Norcross, GA 30071-2569
Phone
(770) 242-9600
Fax
(770) 242-9621
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Young Yoo, DCNPI 1114033347
Title
Ceo
Phone
(770) 242-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIRO5491 GA Primary

Addresses

Primary practice location

5730 Buford Hwy Ste L
Norcross, GA 30071-2569

Mailing address

5730 Buford Hwy Ste L
Norcross, GA 30071-2569
Phone (770) 242-9600

National Provider Directory

National Provider Directory

Locations

5730 Buford Hwy
Ste L
Norcross, GA 30071
Phone (770) 242-9600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215145248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BUFORD HWY STE L",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712569",
            "telephone_number": "770-242-9600",
            "fax_number": "770-242-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BUFORD HWY STE L",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712569",
            "telephone_number": "770-242-9600",
            "fax_number": "770-242-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-242-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO5491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, 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.