Active NPI
Kenneth Jay North, D.C.
- Chiropractor
- Marietta, GA
National Provider Identifier
1457591760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR006558
- Practice address
- 466 Manget St SE
Marietta, GA 30060-2775 - Phone
- (770) 423-9939
- NPI assigned
- Feb 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR006558 | GA | Primary |
Addresses
Primary practice location
466 Manget St SE
Marietta, GA 30060-2775
Mailing address
466 Manget St SE
Marietta, GA 30060-2775
Phone (770) 423-9939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR006558 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1457591760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 MANGET ST SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300602775",
"telephone_number": "770-423-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 MANGET ST SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300602775",
"telephone_number": "770-423-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTH",
"first_name": "KENNETH",
"middle_name": "JAY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-26",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR006558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
- North Georgia Dermatopathology PC
- North Georgia Healthcare Partners LLC
- North Georgia Kidney Specialists, LLC
- North Georgia Radiation Therapy
- North Oncology Institute, Corp.
- Northland Hearing Centers, Inc.
- Northside Eye Partners, PC
- Northside Psychological Services, Inc.
- Northside Urgent Care
- Northwest Atlanta Vascular Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.