NPIMap

Organization Active NPI

Westside Chiropractic Center

  • Chiropractor
  • Pooler, GA
National Provider Identifier
1245659481
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2643 Issued in GA
Legal business name
WESTSIDE CHIROPRACTIC CENTER
Practice address
1017 US Highway 80 E Ste 17
Pooler, GA 31322-9533
Phone
(912) 748-9125
Fax
(912) 826-0352
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Dr. Wayne C De Paz, D.C.
Title
President
Phone
(912) 748-9125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2643 GA Primary

Addresses

Primary practice location

1017 US Highway 80 E Ste 17
Pooler, GA 31322-9533

Mailing address

1017 US Highway 80 E Ste 17
Pooler, GA 31322-9533
Phone (912) 748-9125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1245659481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 US HIGHWAY 80 E STE 17",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229533",
            "telephone_number": "912-748-9125",
            "fax_number": "912-826-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 US HIGHWAY 80 E STE 17",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229533",
            "telephone_number": "912-748-9125",
            "fax_number": "912-826-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "DE PAZ",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-748-9125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.