Individual provider Active NPI

Edgardo J Salas-Robles, DC

  • Rehabilitation Chiropractor
  • Dalton, GA
National Provider Identifier
1245898345
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CHIR010221 Issued in GA
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

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190731000157 GA Practitioner - Chiropractic 4587990486 Reassigns benefits to 2 organizations

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
Inspine Wellness Chiropractic LLCGroup PAC ID 6507236833, 4 clinicians
Inspine Wellness Chiropractic CalhounGroup PAC ID 4981182326, 2 clinicians

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

LicenseStateTypeSpecialty
CHIR010221GAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspine Wellness Chiropractic LLC Rehabilitation CurrentSince Nov 30, 2022 Accepting new patients
Inspine Chiropractic Chattanooga LLC Rehabilitation CurrentSince Jan 1, 2026 Accepting new patients
Inspine Wellness Chiropractic Calhoun Rehabilitation CurrentSince Jun 2, 2025 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.

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.

Verify at the official NPI Registry.