Envision Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009481 Issued in GA

Legal business name

ENVISION CHIROPRACTIC

Practice address

3903 Jiles Rd NW
Building 100 Suite 101
Kennesaw, GA 30144-4612

Phone

(678) 276-9609

NPI assigned

Apr 2, 2015

Last updated

Apr 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Stone, D.C.

Title

Chiropractor

Phone

(678) 276-9609

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1255726691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 JILES RD NW",
            "address_2": "BUILDING 100 SUITE 101",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444612",
            "telephone_number": "678-276-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 JILES RD NW",
            "address_2": "BUILDING 100 SUITE 101",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444612",
            "telephone_number": "678-276-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "678-276-9609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endodontics Associates LLC
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• Magan English
• Constance Enmon, MD
• Envision Optics LLC (My EyeLab)
• Epic Home Care Services LLC
• Angela Ervin
• Candace Giles Ervin, M.D.
• Vanessa Escobedo, RBT

• Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.