NPIMap

Organization Active NPI

Dr. Steven Sommer LLC

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1285094375
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO09507 Issued in GA
Legal business name
DR. STEVEN SOMMER LLC
Practice address
3499 Duluth Park LN
Suite 110
Duluth, GA 30096-5714
Phone
(770) 623-9291
Fax
(770) 623-1308
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Steven Mark SommerNPI 1962878025
Title
Owner
Phone
(518) 225-3844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIRO09507 GA Primary

Addresses

Primary practice location

3499 Duluth Park LN
Suite 110
Duluth, GA 30096-5714

Mailing address

3499 Duluth Park LN
Suite 110
Duluth, GA 30096-5714
Phone (770) 623-9291

Other names 1

  • Duluth Chiropractic and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160523002204 GA Part B Supplier - Clinic/Group Practice 1254630957 Receives reassigned benefits from 2 practitioners
Practice locations: Duluth, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1285094375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 DULUTH PARK LN",
            "address_2": "SUITE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965714",
            "telephone_number": "770-623-9291",
            "fax_number": "770-623-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 DULUTH PARK LN",
            "address_2": "SUITE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965714",
            "telephone_number": "770-623-9291",
            "fax_number": "770-623-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEVEN SOMMER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SOMMER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-225-3844"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO09507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duluth Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.