Active NPI
Edgardo J Salas-Robles, DC
- Rehabilitation Chiropractor
- Dalton, GA
National Provider Identifier
1245898345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CHIR010221
- Practice address
- 715 S Thornton Ave
Dalton, GA 30720-8213 - Phone
- (706) 609-0023
- NPI assigned
- Jun 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CHIR010221 | GA | Primary |
Addresses
Primary practice location
715 S Thornton Ave
Dalton, GA 30720-8213
Mailing address
2157 Lake Park Dr SE
Smyrna, GA 30080-8870
Phone (404) 518-0052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1237 N Glenwood Ave
Dalton, GA 30721-2603
Phone (706) 459-9456
468 Hwy 53 E
Suite 140
Calhoun, GA 30701-3055
Phone (706) 459-9456
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010221 | GA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspine Wellness Chiropractic LLC | Rehabilitation | Current | Accepting new patients |
| Inspine Chiropractic Chattanooga LLC | Rehabilitation | Current | Accepting new patients |
| Inspine Wellness Chiropractic Calhoun | Rehabilitation | Current | Accepting new patients |
| Pray Chiropractic PC | Past | Accepting new patients |
Locations
468 Highway 53 E
Ste 140
Calhoun, GA 30701
Phone (706) 459-9456
1237 N Glenwood Ave
Dalton, GA 30721
Phone (706) 459-9456
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 and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Calhoun, GA
- NPI 1548158421
-
- Rehabilitation Chiropractor
- Dalton, GA
- NPI 1770200818
-
- Rehabilitation Chiropractor
- Chattanooga, TN
- NPI 1598622524
-
- Chiropractor
- Ringgold, GA
- NPI 1699277616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1245898345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2157 LAKE PARK DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300808870",
"telephone_number": "404-518-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S THORNTON AVE",
"city": "DALTON",
"state": "GA",
"postal_code": "307208213",
"telephone_number": "706-609-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS-ROBLES",
"first_name": "EDGARDO",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-04",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "CHIR010221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.