Organization Active NPI

Bart J Belcher DC Csde LLC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1437472610
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR002684 Issued in GA
Legal business name
BART J BELCHER DC CSDE LLC
Practice address
152 Roswell St SE
Marietta, GA 30060-1945
Phone
(770) 424-6222
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Bart J BelcherNPI 1194831594
Title
Owner
Phone
(770) 424-6222

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR002684 GA Primary

Addresses

Primary practice location

152 Roswell St SE
Marietta, GA 30060-1945

Mailing address

152 Roswell St SE
Marietta, GA 30060-1945
Phone (770) 424-6222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101006000500 GA Part B Supplier - Clinic/Group Practice 3971635525 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

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": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1437472610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 ROSWELL ST SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601945",
            "telephone_number": "770-424-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 ROSWELL ST SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601945",
            "telephone_number": "770-424-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BART J BELCHER DC CSDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-424-6222"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002684",
            "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 Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.