Active NPI
Body Elements Corp
- Chiropractor
- Marietta, GA
National Provider Identifier
1225314545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BODY ELEMENTS CORP
- Practice address
- 2323 Shallowford Rd
Suite 105C
Marietta, GA 30066-2000 - Phone
- (770) 657-7463
- NPI assigned
- Nov 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. JD Farless
- Title
- Manager
- Phone
- (770) 657-7463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2323 Shallowford Rd
Suite 105C
Marietta, GA 30066-2000
Mailing address
2323 Shallowford Rd
Suite 105C
Marietta, GA 30066-2000
Phone (770) 657-7463
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344384000000",
"number": "1225314545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 SHALLOWFORD RD",
"address_2": "SUITE 105C",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662000",
"telephone_number": "770-657-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 SHALLOWFORD RD",
"address_2": "SUITE 105C",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662000",
"telephone_number": "770-657-7463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY ELEMENTS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-01",
"last_updated": "2012-08-08",
"status": "A",
"authorized_official_last_name": "FARLESS",
"authorized_official_first_name": "JD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "770-657-7463",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.