Cedarcrest Medical and Rehabilitation

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

007057 Issued in GA

Legal business name

CEDARCREST MEDICAL AND REHABILITATION

Practice address

2161 Cedarcrest Rd
115
Acworth, GA 30101-6404

Phone

(678) 574-4878

Fax

(678) 574-4899

NPI assigned

Nov 29, 2012

Last updated

Nov 29, 2012By 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. Jorge A Bueno, D.CNPI 1114078474

Title

President

Phone

(678) 574-4878

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jorge A Bueno, D.C

  • Nutrition Chiropractor
  • Acworth, GA
  • NPI 1114078474
  NPD (past) Authorized official

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1275878381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 CEDARCREST RD",
            "address_2": "115",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016404",
            "telephone_number": "678-574-4878",
            "fax_number": "678-574-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 CEDARCREST RD",
            "address_2": "115",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016404",
            "telephone_number": "678-574-4878",
            "fax_number": "678-574-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARCREST MEDICAL AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "BUENO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-574-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "007057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigayle Casey
• Mariuche Casole, LCSW
• Castatehospital LLC
• Jennifer Lynn Castro, RBT
• James Edward Cauley, DMD
• Center for Spine Interventions ASC 3, LLC
• Centerview Counseling, LLC
• Christopher Chan, DO
• Janene Channell
• Johnathan Langston Chappell, M.D.

• Rehabilitation Chiropractor in Acworth, GA
• Providers in Acworth, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.