Active NPI
Silva Tavitian, D.C.
- Nutrition Chiropractor
- Tucker, GA
National Provider Identifier
1467596742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CHIRO08901
- Practice address
- 3993 Lavista Rd
Tucker, GA 30084-5139 - Phone
- (770) 270-1119
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CHIRO08901 | GA | Primary |
Addresses
Primary practice location
3993 Lavista Rd
Tucker, GA 30084-5139
Mailing address
5386 Haverford Mill CV
Lilburn, GA 30047-5974
Phone (770) 923-6967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO08901 | GA | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467596742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5386 HAVERFORD MILL CV",
"city": "LILBURN",
"state": "GA",
"postal_code": "300475974",
"telephone_number": "770-923-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3993 LAVISTA RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300845139",
"telephone_number": "770-270-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVITIAN",
"first_name": "SILVA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "GA",
"license": "CHIRO08901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.