NPIMap

Organization Active NPI

Shilo Enterprises PC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1215398557
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009417 Issued in GA
Legal business name
SHILO ENTERPRISES PC
Doing business as
Thrive Wellness Center
Practice address
3829 Roswell Rd
Marietta, GA 30062-6236
Phone
(770) 450-1200
Fax
(678) 648-5504
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Dr. Robert Love, DC
Title
Owner
Phone
(770) 450-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009417 GA Primary

Addresses

Primary practice location

3829 Roswell Rd
Marietta, GA 30062-6236

Mailing address

3829 Roswell Rd
Marietta, GA 30062-6236
Phone (770) 450-1200

Other names 1

  • Thrive Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

1642 Roswell Rd
Marietta, GA 30062
Phone (770) 450-1200

Practitioners & affiliated clinicians

Practitioners 8

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": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1215398557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626236",
            "telephone_number": "770-450-1200",
            "fax_number": "678-648-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626236",
            "telephone_number": "770-450-1200",
            "fax_number": "678-648-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILO ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-450-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.