Organization Active NPI

Pleasant Hill Chiropractic

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1467007997
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PLEASANT HILL CHIROPRACTIC
Practice address
4390 Pleasant Hill Rd Ste G
Duluth, GA 30096-8054
Phone
(770) 623-3050
NPI assigned
Aug 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Dr. Andrew OwenNPI 1770018137
Title
Owner
Phone
(702) 523-1883

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 Primary

Addresses

Primary practice location

4390 Pleasant Hill Rd Ste G
Duluth, GA 30096-8054

Mailing address

4390 Pleasant Hill Rd Ste G
Duluth, GA 30096-8054
Phone (770) 623-3050

Other names 1

  • Antonino Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191115000076 GA Part B Supplier - Clinic/Group Practice 7719319649 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1467007997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 PLEASANT HILL RD STE G",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968054",
            "telephone_number": "770-623-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 PLEASANT HILL RD STE G",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968054",
            "telephone_number": "770-623-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT HILL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-523-1883",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antonino Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 1, 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.