Nexus Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NEXUS CHIROPRACTIC LLC

Practice address

120 Handley Rd Ste 220
Tyrone, GA 30290-2176

Phone

(770) 631-7600

Fax

(770) 631-7604

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Krutika Amulakh Desai, DCNPI 1578679783

Title

Owner

Phone

(404) 455-7947

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Nexus Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Krutika Desai, D.C.

  • Chiropractor
  • Tyrone, GA
  • NPI 1578679783
  Medicare reassignment NPD Authorized official
• Marilyn L Durden, D.C.

  • Chiropractor
  • Tyrone, GA
  • NPI 1831274752
  NPD

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1336765924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 BRYANT POINTE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664699",
            "telephone_number": "404-455-7947",
            "fax_number": "770-631-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HANDLEY RD STE 220",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902176",
            "telephone_number": "770-631-7600",
            "fax_number": "770-631-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "KRUTIKA",
        "authorized_official_middle_name": "AMULAKH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-455-7947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN, INDIVIDUAL NPI",
            "identifier": "1578679783",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "V10290",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexus Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Tyrone, GA
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.