Optimal Spine and Body LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OPTIMAL SPINE AND BODY LLC

Practice address

288 S Main St Ste 600
Alpharetta, GA 30009-1983

Phone

(770) 274-4840

NPI assigned

Sep 19, 2019

Last updated

Oct 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Weiner, DCNPI 1780105965

Title

Chiropractor

Phone

(770) 274-4840

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Michael Weiner, DC

  • Chiropractor
  • Alpharetta, GA
  • NPI 1780105965
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1467002501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 S MAIN ST STE 600",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091983",
            "telephone_number": "770-274-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S MAIN ST STE 600",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091983",
            "telephone_number": "770-274-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL SPINE AND BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-274-4840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://genesischiropracticsoftware.com/",
            "affiliation": "N",
            "endpointDescription": "EHR and billing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "288 S Main St Ste 600",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300091983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.