Individual provider Active NPI

Xavier Ortiz Valle, DC

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1245798545
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010169 Issued in GA
Practice address
1585 Church St Ste 665
Decatur, GA 30033-6059
Phone
(404) 913-6734
NPI assigned
Mar 5, 2019
Last updated
Mar 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR010169 GA Primary

Addresses

Primary practice location

1585 Church St Ste 665
Decatur, GA 30033-6059

Mailing address

1585 Church St Ste 665
Decatur, GA 30033-6059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010169GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Percent Chiropractic Ortiz Valle LLC Chiropractor CurrentSince Nov 19, 2023 Accepting new patients
100 Chiro PC Rosado FL PLLC Chiropractor PastSince May 25, 2021 Accepting new patients
100 Chiro Burrell PC Chiropractor PastSince Sep 15, 2024 Accepting new patients
100 Percent Chiropractic Tampa 1, LLC Chiropractor PastSince Jul 26, 2023 Accepting new patients

Locations

1585 Church St
Ste 665
Decatur, GA 30033
Phone (404) 913-6734

1605 Church St
Ste 665
Decatur, GA 30033
Phone (404) 343-3304

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1245798545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 CHURCH ST STE 665",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 CHURCH ST STE 665",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336059",
            "telephone_number": "404-913-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ VALLE",
        "first_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.