Organization Active NPI

Ballard Chiropractic & Associates LLC

Doing business as Ballard Chiropractic

  • Primary Care Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1417504028
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BALLARD CHIROPRACTIC & ASSOCIATES LLC
Doing business as
Ballard Chiropractic
Practice address
1715 Buford Dr
Lawrenceville, GA 30043-3213
Phone
(770) 277-1650
NPI assigned
Aug 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Dr. Robert Brandon Ballard, DC
Title
Owner
Phone
(770) 277-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1715 Buford Dr
Lawrenceville, GA 30043-3213

Mailing address

1715 Buford Dr
Lawrenceville, GA 30043-3213
Phone (770) 277-1650

Other identifiers 1

IdentifierTypeStateIssuer
1659727055OtherGAINDIVIDUAL NPI

Other names 1

  • Ballard Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1561 Buford Dr
Lawrenceville, GA 30043
Phone (770) 277-1650

1715 Buford Dr
Lawrenceville, GA 30043
Phone (770) 277-1650

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": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1417504028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 BUFORD DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433213",
            "telephone_number": "770-277-1650",
            "fax_number": "770-277-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 BUFORD DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433213",
            "telephone_number": "770-277-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD CHIROPRACTIC & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-277-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659727055",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballard Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.