NPIMap

Organization Active NPI

Evolution Chiropractic

Doing business as Back 2 Back Chiropractic

  • Chiropractor
  • Dunwoody, GA
National Provider Identifier
1316397193
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009707 Issued in GA
Legal business name
EVOLUTION CHIROPRACTIC
Doing business as
Back 2 Back Chiropractic
Practice address
1705 Mount Vernon Rd
Dunwoody, GA 30338-4261
Phone
(770) 391-2771
NPI assigned
Jun 13, 2016
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Steven Wallin, D.C.NPI 1831563469
Title
Chiropractor/President
Phone
(770) 391-2771

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009707 GA Primary

Addresses

Primary practice location

1705 Mount Vernon Rd
Dunwoody, GA 30338-4261

Mailing address

1705 Mount Vernon Rd
Dunwoody, GA 30338-4261
Phone (770) 391-2771

Other names 1

  • Back 2 Back Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1705 Mount Vernon Rd
Dunwoody, GA 30338
Phone (770) 391-2771

Practitioners & affiliated clinicians

Practitioners 2

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": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1316397193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 MOUNT VERNON RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384261",
            "telephone_number": "770-391-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MOUNT VERNON RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384261",
            "telephone_number": "770-391-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "770-391-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back 2 Back Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.