Inner Light Enterprises, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

004806 Issued in GA

Legal business name

INNER LIGHT ENTERPRISES, INC.

Doing business as

dba Health Matters

Practice address

11080 Old Roswell Road
Ste. 100
Alpharetta, GA 30009-4758

Phone

(770) 740-8228

Fax

(770) 346-9958

NPI assigned

Sep 4, 2009

Last updated

Sep 4, 2009By 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. Nelson David Bulmash, D.C.NPI 1235261314

Title

Owner, President, Doctor

Phone

(770) 740-8228

Specialties & licenses 1

Addresses

Other names 1

• dba Health Matters Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nelson David Bulmash, DC

  • Chiropractor
  • Alpharetta, GA
  • NPI 1235261314
  Medicare reassignment NPD Authorized official
• Lauren Runner, DC

  • Chiropractor
  • Alpharetta, GA
  • NPI 1104672526
  NPD (past)

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1275866410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11080 OLD ROSWELL ROAD",
            "address_2": "STE. 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300094758",
            "telephone_number": "770-740-8228",
            "fax_number": "770-346-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11080 OLD ROSWELL ROAD",
            "address_2": "STE. 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300094758",
            "telephone_number": "770-740-8228",
            "fax_number": "770-346-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER LIGHT ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "BULMASH",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, DOCTOR",
        "authorized_official_telephone_number": "770-740-8228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "004806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Health Matters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Innovative Infusions, LLC (Paragon Infusion Centers)
• Julia Ann Inscoe, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.