Organization Active NPI

Neighborhood Chiropractic & Wellness Center, LLC

  • Chiropractor
  • Villa Rica, GA
National Provider Identifier
1285926006
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6322 Issued in GA
Legal business name
NEIGHBORHOOD CHIROPRACTIC & WELLNESS CENTER, LLC
Practice address
514 W Bankhead Hwy Ste 300
Villa Rica, GA 30180-1737
Phone
(770) 617-7434
Fax
(678) 840-9461
NPI assigned
May 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Stephanie Taylor Mahle, D.C.
Title
Owner
Phone
(770) 942-3818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6322 GA Primary

Addresses

Primary practice location

514 W Bankhead Hwy Ste 300
Villa Rica, GA 30180-1737

Mailing address

328 Silverthorne Cir
Douglasville, GA 30134-7420
Phone (770) 942-3818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1285926006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 SILVERTHORNE CIR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301347420",
            "telephone_number": "770-942-3818",
            "fax_number": "678-840-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W BANKHEAD HWY STE 300",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801737",
            "telephone_number": "770-617-7434",
            "fax_number": "678-840-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "MAHLE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-942-3818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.