NPIMap

Organization Active NPI

Kaizen Healthcare

  • Chiropractor
  • Sandy Springs, GA
National Provider Identifier
1295268639
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009426 Issued in GA
Legal business name
KAIZEN HEALTHCARE
Practice address
855 Mount Vernon Hwy NE
#100
Sandy Springs, GA 30328-4249
Phone
(770) 688-9397
Fax
(770) 538-1127
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Daniel Dierdorff, D.C.
Title
Owner
Phone
(770) 688-9397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009426 GA Primary

Addresses

Primary practice location

855 Mount Vernon Hwy NE
#100
Sandy Springs, GA 30328-4249

Mailing address

855 Mount Vernon Hwy NE
#100
Sandy Springs, GA 30328-4249
Phone (770) 688-9397

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1295268639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MOUNT VERNON HWY NE",
            "address_2": "#100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284249",
            "telephone_number": "770-688-9397",
            "fax_number": "770-538-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MOUNT VERNON HWY NE",
            "address_2": "#100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284249",
            "telephone_number": "770-688-9397",
            "fax_number": "770-538-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIZEN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "DIERDORFF",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-688-9397",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.