Organization Active NPI

New Life Chiropractic & Wellness Center

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1396987889
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008408 Issued in GA
Legal business name
NEW LIFE CHIROPRACTIC & WELLNESS CENTER
Practice address
590 Cobb Pkwy S
Marietta, GA 30060-6517
Phone
(770) 427-0044
Fax
(770) 428-9695
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Dr. Larona Gore, B.S., D.C.
Title
Chiropractic Physician
Phone
(404) 641-0524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008408 GA Primary

Addresses

Primary practice location

590 Cobb Pkwy S
Marietta, GA 30060-6517

Mailing address

590 Cobb Pkwy S
Marietta, GA 30060-6517
Phone (770) 427-0044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1396987889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 COBB PKWY S",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606517",
            "telephone_number": "770-427-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COBB PKWY S",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606517",
            "telephone_number": "770-427-0044",
            "fax_number": "770-428-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "LARONA",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "404-641-0524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 30, 2009; 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.