Organization Active NPI

Chiro Smyrna

  • Chiropractor
  • Smyrna, GA
National Provider Identifier
1376737163
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO07183 Issued in GA
Legal business name
CHIRO SMYRNA
Practice address
1105 Concord Rd SE
Smyrna, GA 30080-4207
Phone
(770) 850-0857
Fax
(770) 988-8425
NPI assigned
Sep 5, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Keysa Murrell
Title
HR Director
Phone
(770) 850-0857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO07183 GA Primary

Addresses

Primary practice location

1105 Concord Rd SE
Smyrna, GA 30080-4207

Mailing address

PO Box 672544
Marietta, GA 30006-0043
Phone (770) 850-0857

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1376737163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672544",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300060043",
            "telephone_number": "770-850-0857",
            "fax_number": "770-988-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804207",
            "telephone_number": "770-850-0857",
            "fax_number": "770-988-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO SMYRNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "MURRELL",
        "authorized_official_first_name": "KEYSA",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "770-850-0857"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.