Organization Active NPI

Carol Antonino DC

Doing business as Antonino Chiropractic Center

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1215966197
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4729 Issued in GA
Legal business name
CAROL ANTONINO DC
Doing business as
Antonino Chiropractic Center
Practice address
4390 Pleasant Hill Rd
Suite G
Duluth, GA 30096-8054
Phone
(770) 623-3050
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Carol Antonino, DC
Title
Doctor
Phone
(770) 623-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4729 GA Primary

Addresses

Primary practice location

4390 Pleasant Hill Rd
Suite G
Duluth, GA 30096-8054

Mailing address

4390 Pleasant Hill Rd
Suite G
Duluth, GA 30096-8054
Phone (770) 623-3050

Other names 1

  • Antonino Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

4300 Pleasant Hill Rd
Ste B
Duluth, GA 30096
Phone (770) 623-3050

4390 Pleasant Hill Rd
Ste G
Duluth, GA 30096
Phone (702) 523-1883

Practitioners & affiliated clinicians

Practitioners 1

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1215966197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 PLEASANT HILL RD",
            "address_2": "SUITE G",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968054",
            "telephone_number": "770-623-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 PLEASANT HILL RD",
            "address_2": "SUITE G",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968054",
            "telephone_number": "770-623-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL ANTONINO DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "ANTONINO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-623-3050",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "4729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antonino Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.