Organization Active NPI

Duluth Chiropractic & Acupuncture Clinic Dcac

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1457611220
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008481 Issued in GA
Legal business name
DULUTH CHIROPRACTIC & ACUPUNCTURE CLINIC DCAC
Practice address
3705 Old Norcross Rd
#400
Duluth, GA 30096-4335
Phone
(770) 476-7676
Fax
(770) 476-7679
NPI assigned
May 25, 2012
Last updated
May 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Jooyoung Kim, D.CNPI 1649315706
Title
Ceo
Phone
(770) 476-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008481 GA Primary
Acupuncturist 171100000X 236 GA

Addresses

Primary practice location

3705 Old Norcross Rd
#400
Duluth, GA 30096-4335

Mailing address

3705 Old Norcross Rd
#400
Duluth, GA 30096-4335
Phone (770) 476-7676

Other names 1

  • DCAC LLC Other name

National Provider Directory

National Provider Directory

Locations

3705 Old Norcross Rd
Ste 400
Duluth, GA 30096
Phone (770) 476-7676

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1457611220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 OLD NORCROSS RD",
            "address_2": "#400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964335",
            "telephone_number": "770-476-7676",
            "fax_number": "770-476-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 OLD NORCROSS RD",
            "address_2": "#400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964335",
            "telephone_number": "770-476-7676",
            "fax_number": "770-476-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH CHIROPRACTIC & ACUPUNCTURE CLINIC DCAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOOYOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-476-7676",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008481",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCAC LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.