NPIMap

Organization Active NPI

Smyrna Advance Chiropractic Center

  • Rehabilitation Chiropractor
  • Smyrna, GA
National Provider Identifier
1245445576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
1836 Issued in GA
Legal business name
SMYRNA ADVANCE CHIROPRACTIC CENTER
Practice address
981 Concord Rd SE
Smyrna, GA 30080-4267
Phone
(770) 432-9290
Fax
(770) 319-6377
NPI assigned
May 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joel Louis Desaulniers, D.C.NPI 1033285481
Title
President
Phone
(770) 432-9290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 1836 GA Primary

Addresses

Primary practice location

981 Concord Rd SE
Smyrna, GA 30080-4267

Mailing address

981 Concord Rd SE
Smyrna, GA 30080-4267
Phone (770) 432-9290

National Provider Directory

National Provider Directory
Tax ID family
Smryna Advanced Chiropractic Center2 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.

Locations

981 Concord Rd SE
Smyrna, GA 30080
Phone (770) 432-9290

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245445576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804267",
            "telephone_number": "770-432-9290",
            "fax_number": "770-319-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804267",
            "telephone_number": "770-432-9290",
            "fax_number": "770-319-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYRNA ADVANCE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAULNIERS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-432-9290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "1836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.