Individual provider Active NPI

Evan Robert Strahl, DC

  • Chiropractor
  • Doraville, GA
National Provider Identifier
1356922280
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010528 Issued in GA
Practice address
4535 Winters Chapel Rd
Doraville, GA 30360-2705
Phone
(616) 502-8045
NPI assigned
Apr 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010528 GA Primary

Addresses

Primary practice location

4535 Winters Chapel Rd
Doraville, GA 30360-2705

Mailing address

17867 Water Chase TRL
Spring Lake, MI 49456-8875

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204003599 WA Practitioner - Chiropractic 8820446669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17651 1St Ave S
Normandy Park, WA 98148-2715
Phone (206) 241-3836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010528GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Daryll G. Marshall-Inman DC Inc. Chiropractor CurrentSince Nov 19, 2023 Accepting new patients
Leshaw Chiropractic PLLC PastSince Sep 1, 2019 Accepting new patients
Daryll G. Marshall-Inman DC Inc Chiropractor Past Accepting new patients

Locations

17651 1st Ave S
Ste 101
Normandy Park, WA 98148
Phone (206) 241-3826

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1356922280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17867 WATER CHASE TRL",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494568875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 WINTERS CHAPEL RD",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303602705",
            "telephone_number": "616-502-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAHL",
        "first_name": "EVAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.