NPIMap

Organization Active NPI

Towne Lake Family Chiropractic

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1386194801
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009726 Issued in GA
Legal business name
TOWNE LAKE FAMILY CHIROPRACTIC
Practice address
1000 Wyngate Pkwy
200
Woodstock, GA 30189-6981
Phone
(770) 592-1877
Fax
(770) 592-1876
NPI assigned
Oct 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Krista Moran
Title
Insurance Manager
Phone
(770) 592-1877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009726 GA Primary

Addresses

Primary practice location

1000 Wyngate Pkwy
200
Woodstock, GA 30189-6981

Mailing address

1000 Wyngate Pkwy
200
Woodstock, GA 30189-6981

National Provider Directory

National Provider Directory
Tax ID family
Towne Lake Family Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1386194801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WYNGATE PKWY",
            "address_2": "200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WYNGATE PKWY",
            "address_2": "200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896981",
            "telephone_number": "770-592-1877",
            "fax_number": "770-592-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE LAKE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "770-592-1877"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.