NPIMap

Organization Active NPI

Living I.E. Chiropractic LLC

  • Health Service Clinic/Center
  • Marietta, GA
National Provider Identifier
1225400575
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CHIR009579 Issued in GA
Legal business name
LIVING I.E. CHIROPRACTIC LLC
Practice address
1673 Miller Ave SE
Marietta, GA 30060-4241
Phone
(765) 620-4453
NPI assigned
Oct 27, 2015
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Dr. Ryan T Schrock, D.C.
Title
Chiropractor
Phone
(765) 620-4453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CHIR009579 GA Primary

Addresses

Primary practice location

1673 Miller Ave SE
Marietta, GA 30060-4241

Mailing address

1673 Miller Ave SE
Marietta, GA 30060-4241
Phone (765) 620-4453

National Provider Directory

National Provider Directory
Tax ID family
Chiropractic Works2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1225400575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 MILLER AVE SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300604241",
            "telephone_number": "765-620-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 MILLER AVE SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300604241",
            "telephone_number": "765-620-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING I.E. CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "SCHROCK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "765-620-4453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "CHIR009579",
            "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 Oct 27, 2015; 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.