River Tree Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RIVER TREE CHIROPRACTIC, LLC

Practice address

4290 Bells Ferry Rd NW Ste 118
Kennesaw, GA 30144-1300

Phone

(770) 924-4700

NPI assigned

Oct 19, 2018

Organization subpart

No

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

Authorized official

Name

Omar David Nieves, DCNPI 1871006270

Title

Chiropractor

Phone

(770) 940-2255

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Omar David Nieves

  • Chiropractor
  • Kennesaw, GA
  • NPI 1871006270
  NPD Authorized official

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1295201960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BROOKHAVEN CT",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022189",
            "telephone_number": "770-940-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 BELLS FERRY RD NW STE 118",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441300",
            "telephone_number": "770-924-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER TREE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-940-2255",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garryson Ridgely, DC
• Steven Riemersma
• Katie B Riggins, DMD
• Jennifer Ringenberg, RN
• Susan Alice Ristau, LPC
• Erica Rivera-Armoreda, PA
• Melissa Rivera-Rodriguez
• Riverside Counseling and Personal Development, LLC
• Regina Frances Robbins, M.D.
• Kaylana Victoria Roberts

• Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.