Active NPI
Ballard Chiropractic & Associates LLC
Doing business as Ballard Chiropractic
- Primary Care Clinic/Center
- Lawrenceville, GA
National Provider Identifier
1417504028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659727055 | Other | GA | INDIVIDUAL NPI |
Other names 1
- Ballard Chiropractic
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Commerce, GA
- NPI 1023192325
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.