Louis Cavallo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO04740 Issued in GA

Practice address

217 Scenic Hwy # 124
Lawrenceville, GA 30045-5621

Phone

(770) 513-8922

Fax

(770) 513-0547

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeanette Altieri Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ac Chiropractic Life Center

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1831262914
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417020710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SCENIC HWY # 124",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455621",
            "telephone_number": "770-513-8922",
            "fax_number": "770-513-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SCENIC HWY # 124",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455621",
            "telephone_number": "770-513-8922",
            "fax_number": "770-513-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLO",
        "first_name": "LOUIS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO04740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "ALTIERI",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catalyst RX Pharmacy LLC
• Samantha Catoggio
• Matthew Caudill, LCSW
• Justin Derek Caughron, MD
• Jessica N Cavallo, OT
• Cavells Inc
• Rachel Caylor
• Caz Goodman, D.C., P.a.
• Bianca Ceballos
• Jaqueline Sofia Ceballos

• Chiropractor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.