Organization Active NPI

Tao Chiro LLC

  • Health Service Clinic/Center
  • Decatur, GA
National Provider Identifier
1346401775
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CHIR002592 Issued in GA
Legal business name
TAO CHIRO LLC
Practice address
2545 Lawrenceville Hwy
Suite 100
Decatur, GA 30033-3239
Phone
(404) 378-6300
Fax
(770) 939-9353
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Jane Ellen Dinerman, BSN RN DCNPI 1770611451
Title
Chiropractor/Registered Nurse
Phone
(404) 378-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CHIR002592 GA Primary

Addresses

Primary practice location

2545 Lawrenceville Hwy
Suite 100
Decatur, GA 30033-3239

Mailing address

917 Scott Blvd
Decatur, GA 30030-1303
Phone (404) 378-8978

Other identifiers 1

IdentifierTypeStateIssuer
U22510OtherGAMEDICARE # 35ZCFVL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000060 GA Part B Supplier - Clinic/Group Practice 5193893865 Receives reassigned benefits from 1 practitioner
Practice locations: Tucker, GA

National Provider Directory

National Provider Directory

Locations

2545 Lawrenceville Hwy
Ste 100
Decatur, GA 30033
Phone (404) 377-0011

1400 Montreal Rd
Ste 100
Tucker, GA 30084
Phone (404) 377-0011

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1346401775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 SCOTT BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301303",
            "telephone_number": "404-378-8978",
            "fax_number": "770-939-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 LAWRENCEVILLE HWY",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333239",
            "telephone_number": "404-378-6300",
            "fax_number": "770-939-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAO CHIRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DINERMAN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CHIROPRACTOR/REGISTERED NURSE",
        "authorized_official_telephone_number": "404-378-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BSN RN DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "CHIR002592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE # 35ZCFVL",
            "identifier": "U22510",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.