Dr Eddy R Nestle D C Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1546 Issued in GA

Legal business name

DR EDDY R NESTLE D C INC

Practice address

273 Macland Rd
Dallas, GA 30132-5052

Phone

(770) 445-6007

Fax

(770) 445-6008

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eddy R Nestle, DC

Title

Ceo

Phone

(770) 445-6007

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.

• Amy Evans, FNP-C

  • Family Nurse Practitioner
  • Dallas, GA
  • NPI 1063800548
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1245357466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 MACLAND RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325052",
            "telephone_number": "770-445-6007",
            "fax_number": "770-445-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 MACLAND RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325052",
            "telephone_number": "770-445-6007",
            "fax_number": "770-445-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EDDY R NESTLE D C INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "NESTLE",
        "authorized_official_first_name": "EDDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-445-6007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Dallas, GA
• Providers in Dallas, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.