NPIMap

Organization Active NPI

Healthy Performance Chiropractic,LLC

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1407110463
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008855 Issued in GA
Legal business name
HEALTHY PERFORMANCE CHIROPRACTIC,LLC
Practice address
700 Hembree PL
Suite C
Roswell, GA 30076-3862
Phone
(404) 578-0631
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Dr. Victoria Lynn White, DCNPI 1548537202
Title
Owner
Phone
(404) 578-0631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008855 GA Primary

Addresses

Primary practice location

700 Hembree PL
Suite C
Roswell, GA 30076-3862

Mailing address

597 Saint James Walk SE
Marietta, GA 30067-7165
Phone (404) 578-0631

National Provider Directory

National Provider Directory

Locations

700 Hembree Pl
Ste C
Roswell, GA 30076
Phone (404) 578-0631

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1407110463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 SAINT JAMES WALK SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677165",
            "telephone_number": "404-578-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HEMBREE PL",
            "address_2": "SUITE C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763862",
            "telephone_number": "404-578-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY PERFORMANCE CHIROPRACTIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-578-0631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.