Intelligent Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO05349 Issued in GA

Legal business name

INTELLIGENT CHIROPRACTIC, LLC

Practice address

5871 Glenridge Dr NE
Suite 115
Atlanta, GA 30328-5375

Phone

(404) 531-9525

Fax

(404) 531-9842

NPI assigned

Oct 25, 2012

Organization subpart

No

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

Authorized official

Name

Salvatore J Minicozzi, D.C.NPI 1568509545

Title

Owner/Manager

Phone

(404) 531-9525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salvatore Joseph Minicozzi, D.C., C.C.E.P.

  • Chiropractor
  • Atlanta, GA
  • NPI 1568509545
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1376896563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5871 GLENRIDGE DR NE",
            "address_2": "SUITE 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285375",
            "telephone_number": "404-531-9525",
            "fax_number": "404-531-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 GLENRIDGE DR NE",
            "address_2": "SUITE 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285375",
            "telephone_number": "404-531-9525",
            "fax_number": "404-531-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIGENT CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "MINICOZZI",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "404-531-9525",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO05349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Atlanta, GA
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• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.