NPIMap

Organization Active NPI

Built in Health LLC

  • Neurology Chiropractor
  • Marietta, GA
National Provider Identifier
1417890757
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
BUILT IN HEALTH LLC
Practice address
3000 Windy Hill Rd SE Ste 204
Marietta, GA 30067-8430
Phone
(770) 988-8884
NPI assigned
Apr 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Dereck G Blazquez, DCNPI 1407661945
Title
Owner
Phone
(770) 988-8884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X Primary

Addresses

Primary practice location

3000 Windy Hill Rd SE Ste 204
Marietta, GA 30067-8430

Mailing address

3000 Windy Hill Rd SE Ste 204
Marietta, GA 30067-8430
Phone (770) 988-8884

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1417890757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WINDY HILL RD SE STE 204",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678430",
            "telephone_number": "770-988-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WINDY HILL RD SE STE 204",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678430",
            "telephone_number": "770-988-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILT IN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-11",
        "status": "A",
        "authorized_official_last_name": "BLAZQUEZ",
        "authorized_official_first_name": "DERECK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-988-8884",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.