Organization Active NPI

Soft Tissue and Chiropractic Center

  • Rehabilitation Chiropractor
  • Atlanta, GA
National Provider Identifier
1467584359
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CHIR006237 Issued in GA
Legal business name
SOFT TISSUE AND CHIROPRACTIC CENTER
Practice address
3050 Peachtree Rd NW
Suite 3
Atlanta, GA 30305-2296
Phone
(404) 467-1278
Fax
(404) 467-1178
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Radaszewski, DO
Title
Chiropractor Owner
Phone
(404) 467-1278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X CHIR006237 GA Primary

Addresses

Primary practice location

3050 Peachtree Rd NW
Suite 3
Atlanta, GA 30305-2296

Mailing address

3050 Peachtree Rd NW
Suite 3
Atlanta, GA 30305-2296
Phone (404) 467-1278

National Provider Directory

National Provider Directory

Locations

3050 Peachtree Rd NW
Ste 3
Atlanta, GA 30305
Phone (404) 467-1278

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467584359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 PEACHTREE RD NW",
            "address_2": "SUITE 3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052296",
            "telephone_number": "404-467-1278",
            "fax_number": "404-467-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 PEACHTREE RD NW",
            "address_2": "SUITE 3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052296",
            "telephone_number": "404-467-1278",
            "fax_number": "404-467-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFT TISSUE AND CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADASZEWSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "404-467-1278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR006237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.