Individual provider Active NPI

Carla Michelle Marrero-Sanchez, DC,

  • Sports Physician Chiropractor
  • Marietta, GA
National Provider Identifier
1366002412
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CHIRO10204 Issued in GA
Practice address
4343 Shallowford Rd Ste H6
Marietta, GA 30062-5023
Phone
(678) 352-1948
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X CHIRO10204 GA Primary

Addresses

Primary practice location

4343 Shallowford Rd Ste H6
Marietta, GA 30062-5023

Mailing address

875 Franklin Gtwy SE Apt 533
Marietta, GA 30067-2922
Phone (787) 449-8263

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.chirotouch.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1366002412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 FRANKLIN GTWY SE APT 533",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300672922",
            "telephone_number": "787-449-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD STE H6",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625023",
            "telephone_number": "678-352-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO-SANCHEZ",
        "first_name": "CARLA",
        "middle_name": "MICHELLE",
        "credential": "DC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "CHIRO10204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.chirotouch.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "ELECTRONIC hEALTH RECORD",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4343 Shallowford Rd Ste H6",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300625023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.