Align Chiropractic Clinic & Associates, P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

CHIR007124 Issued in GA

Legal business name

ALIGN CHIROPRACTIC CLINIC & ASSOCIATES, P.C.

Practice address

4327 Mundy Mill Rd
Suite a - BLDG. One
Oakwood, GA 30566-2563

Phone

(770) 532-2273

Fax

(770) 532-5988

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandra De Sousa, D.C.NPI 1639239056

Title

Clinic Director

Phone

(770) 532-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Sandra M De Sousa, D.C.

  • Occupational Health Chiropractor
  • Oakwood, GA
  • NPI 1639239056
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386862340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 MUNDY MILL RD",
            "address_2": "SUITE A - BLDG. ONE",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662563",
            "telephone_number": "770-532-2273",
            "fax_number": "770-532-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 MUNDY MILL RD",
            "address_2": "SUITE A - BLDG. ONE",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662563",
            "telephone_number": "770-532-2273",
            "fax_number": "770-532-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN CHIROPRACTIC CLINIC & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE SOUSA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "770-532-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "CHIR007124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIR",
            "identifier": "007124",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Oakwood, GA
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.