Woodpark Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8019 Issued in GA

Legal business name

WOODPARK FAMILY CHIROPRACTIC LLC

Practice address

203 Woodpark PL Ste B100
Woodstock, GA 30188-3758

Phone

(770) 926-9495

Fax

(770) 926-9284

NPI assigned

Feb 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Khaled Abouhaif, DCNPI 1275562175

Title

Owner

Phone

(770) 926-9495

Specialties & licenses 1

Addresses

Other names 1

• Foothills Chiropractic & Rehab Doing business as

Locations

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

• Khaled M Abouhaif, D.C.

  • Chiropractor
  • Woodstock, GA
  • NPI 1275562175
  NPD (past) Authorized official

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1295032175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GOLD CREEK TRL STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885436",
            "telephone_number": "770-926-9495",
            "fax_number": "770-926-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WOODPARK PL STE B100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883758",
            "telephone_number": "770-926-9495",
            "fax_number": "770-926-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODPARK FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "ABOUHAIF",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-926-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "8019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Chiropractic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Woodstock Dentistry, PC

• All providers in Woodstock, GA
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.