Active NPI
Dr. Samuel Wireman, LLC
- Chiropractor
- Atlanta, GA
National Provider Identifier
1356851984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009908
- Legal business name
- DR. SAMUEL WIREMAN, LLC
- Practice address
- 1409 N Highland Ave NE Ste a
Atlanta, GA 30306-3300 - Phone
- (404) 860-1030
- NPI assigned
- Oct 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel Mark Wireman, DC
- Title
- Chiropractor
- Phone
- (215) 681-2829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009908 | GA | Primary |
Addresses
Primary practice location
1409 N Highland Ave NE Ste a
Atlanta, GA 30306-3300
Mailing address
19 Ridge Run SE Apt O
Marietta, GA 30067-8229
Phone (215) 681-2829
National Provider Directory
National Provider DirectoryLocations
1409 N Highland Ave NE
Ste A
Atlanta, GA 30306
Phone (404) 860-1030
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Atlanta, GA
- NPI 1740705045
-
- Chiropractor
- Atlanta, GA
- NPI 1063733624
-
- Chiropractor
- Atlanta, GA
- NPI 1598614737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507593600000",
"number": "1356851984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 RIDGE RUN SE APT O",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678229",
"telephone_number": "215-681-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 N HIGHLAND AVE NE STE A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303063300",
"telephone_number": "404-860-1030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. SAMUEL WIREMAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-10",
"status": "A",
"authorized_official_last_name": "WIREMAN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "215-681-2829",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.