Dream Body, Inc

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

DREAM BODY, INC

Practice address

3900 Legacy Park Blvd NW
D-400
Kennesaw, GA 30144-7412

Phone

(678) 908-9220

NPI assigned

Apr 24, 2015

Organization subpart

No

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

Authorized official

Name

Seth Gregory Carver, CMPT

Title

Ceo

Phone

(678) 908-9220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1255728580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 SEATTLE PL NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LEGACY PARK BLVD NW",
            "address_2": "D-400",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447412",
            "telephone_number": "678-908-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM BODY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-908-9220",
        "authorized_official_credential": "CMPT"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.