NPIMap

Organization Active NPI

Inner Sanctuary Chiropractic LLC

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1285983270
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008617 Issued in GA
Legal business name
INNER SANCTUARY CHIROPRACTIC LLC
Practice address
165 Dekalb Industrial Way
Suite B5
Decatur, GA 30030-2230
Phone
(404) 993-1140
NPI assigned
Sep 5, 2012
Last updated
Sep 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Nima Mahallati, D.C.NPI 1497005300
Title
Owner
Phone
(404) 993-1140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008617 GA Primary

Addresses

Primary practice location

165 Dekalb Industrial Way
Suite B5
Decatur, GA 30030-2230

Mailing address

165 Dekalb Industrial Way
Suite B5
Decatur, GA 30030-2230
Phone (404) 993-1140

National Provider Directory

National Provider Directory

Locations

165 DeKalb Industrial Way
Ste B5
Decatur, GA 30030
Phone (404) 993-1140

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1285983270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 DEKALB INDUSTRIAL WAY",
            "address_2": "SUITE B5",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302230",
            "telephone_number": "404-993-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 DEKALB INDUSTRIAL WAY",
            "address_2": "SUITE B5",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302230",
            "telephone_number": "404-993-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER SANCTUARY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "MAHALLATI",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-993-1140",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.