Foothills Chiropractic

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

13702 Issued in GA

Legal business name

FOOTHILLS CHIROPRACTIC

Practice address

25 Foothills Pkwy
Suite 105
Marble Hill, GA 30148-2261

Phone

(770) 894-4950

Fax

(770) 894-4951

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Mark DebrincatNPI 1134247687

Title

Owner

Phone

(770) 894-4950

Specialties & licenses 1

Addresses

Locations

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.

• Mark Debrincat

  • Chiropractor
  • Marble Hill, GA
  • NPI 1134247687
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1215158951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 HIDDEN COVE DR",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301075742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FOOTHILLS PKWY",
            "address_2": "SUITE 105",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482261",
            "telephone_number": "770-894-4950",
            "fax_number": "770-894-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "DEBRINCAT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-894-4950"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "13702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cognova Consulting Inc (Cognova Counseling Associates)
• Crescent Services II LLC (Jasper Drug Store at Foothills)
• Mark Debrincat
• Joellen L Dreyfus, D.C.
• Foothills Dental, P.C. (Foothills Dental Associates)
• Foothills Management LLC (Foothills Chiropractic)
• Independent Physical Therapy of Ga, LLC (BenchMark Physical Therapy)
• Jasper Drug Store at Foothills
• Ravi Karan, D.C.

• Preferred Provider Organization in Marble Hill, GA
• Providers in Marble Hill, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.