Organization Active NPI

Chirochoice of Dalton LLC

  • Chiropractor
  • Dalton, GA
National Provider Identifier
1457721730
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2627 Issued in GA
Legal business name
CHIROCHOICE OF DALTON LLC
Practice address
1508 N Thornton Ave Ste 104
Dalton, GA 30720-8516
Phone
(706) 279-9295
Fax
(706) 279-9296
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Dr. Timothy Scott Manis, DCNPI 1023090933
Title
Owner/Attending Physician
Phone
(706) 279-9295

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 2627 GA Primary

Addresses

Primary practice location

1508 N Thornton Ave Ste 104
Dalton, GA 30720-8516

Mailing address

1508 N Thornton Ave Ste 104
Dalton, GA 30720-8516
Phone (706) 279-9295

Other identifiers 1

IdentifierTypeStateIssuer
1558423830OtherGANPPES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250226004035 GA Part B Supplier - Clinic/Group Practice 5890215305 Receives reassigned benefits from 1 practitioner
Practice locations: Dalton, GA

National Provider Directory

National Provider Directory

Locations

1508 N Thornton Ave
Ste 104
Dalton, GA 30720
Phone (706) 279-9295

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": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1457721730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 N THORNTON AVE STE 104",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208516",
            "telephone_number": "706-279-9295",
            "fax_number": "706-279-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 N THORNTON AVE STE 104",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208516",
            "telephone_number": "706-279-9295",
            "fax_number": "706-279-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROCHOICE OF DALTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "MANIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "706-279-9295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1558423830",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.