Individual provider Active NPI

Hector Ortiz, D.C.

  • Chiropractor
  • Canton, GA
National Provider Identifier
1417497595
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009788 Issued in GA
Practice address
230 Riverstone Pkwy Ste B
Canton, GA 30114-6414
Phone
(770) 720-0099
Fax
(770) 720-0002
NPI assigned
Mar 8, 2017
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009788 GA Primary

Addresses

Primary practice location

230 Riverstone Pkwy Ste B
Canton, GA 30114-6414

Mailing address

230 Riverstone Pkwy Ste B
Canton, GA 30114-6414
Phone (770) 720-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308000937 GA Practitioner - Chiropractic 8426442443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspine Wellness Chiropractic LLCGroup PAC ID 6507236833, 4 clinicians

Practice addresses (Care Compare)

1237 N Glenwood Ave
Dalton, GA 30721-2603
Phone (706) 459-9456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspine Wellness Chiropractic Calhoun CurrentSince Dec 30, 2025 Accepting new patients
Inspine Wellness Chiropractic LLC CurrentSince May 13, 2024 Accepting new patients

Locations

468 Highway 53 E
Ste 140
Calhoun, GA 30701
Phone (706) 459-9456

1237 N Glenwood Ave
Dalton, GA 30721
Phone (706) 459-9456

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1417497595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 RIVERSTONE PKWY STE B",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146414",
            "telephone_number": "770-720-0099",
            "fax_number": "770-720-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 RIVERSTONE PKWY STE B",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146414",
            "telephone_number": "770-720-0099",
            "fax_number": "770-720-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "HECTOR",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-08",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.