Active NPI
Timothy J O'Connor, D.C.
- Chiropractor
- Alpharetta, GA
National Provider Identifier
1417028671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008688
- Practice address
- 4914 Atlanta Hwy
Alpharetta, GA 30004-2921 - Phone
- (770) 667-0099
- Fax
- (770) 667-0092
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008688 | GA | Primary |
Addresses
Primary practice location
4914 Atlanta Hwy
Alpharetta, GA 30004-2921
Mailing address
4914 Atlanta Hwy
Alpharetta, GA 30004-2921
Phone (770) 667-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P0089594 | Other | AZ | RAILROAD MR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008688 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Healthcare LLC | Past | Accepting new patients | |
| Catalyst Chiropractic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Point of Service
- Phoenix, AZ
- NPI 1841458890
-
- Physical Medicine & Rehabilitation Physician
- Canton, GA
- NPI 1295782514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1417028671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4914 ATLANTA HWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300042921",
"telephone_number": "770-667-0099",
"fax_number": "770-667-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4914 ATLANTA HWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300042921",
"telephone_number": "770-667-0099",
"fax_number": "770-667-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MR",
"identifier": "P0089594",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.