Organization Active NPI

Dr. Samuel Wireman, LLC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1356851984
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009908 Issued in GA
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

Updated by the provider on Oct 10, 2017

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.