Organization Active NPI

Centered Body Chiropractic LLC

  • Chiropractor
  • Dunwoody, GA
National Provider Identifier
1487915211
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008214 Issued in GA
Legal business name
CENTERED BODY CHIROPRACTIC LLC
Practice address
1705 Mount Vernon Rd Ste B
Dunwoody, GA 30338-4257
Phone
(770) 936-9707
Fax
(770) 936-9717
NPI assigned
Jun 7, 2012
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Ms. Neichelle G White
Title
Billing Specialist
Phone
(678) 438-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 008214 GA Primary

Addresses

Primary practice location

1705 Mount Vernon Rd Ste B
Dunwoody, GA 30338-4257

Mailing address

1705-B Mount Vernon Rd
Dunwoody, GA 30338-4257
Phone (770) 936-9707

National Provider Directory

National Provider Directory

Locations

1705 Mount Vernon Rd
Ste B
Dunwoody, GA 30338
Phone (404) 445-7942

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1487915211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705-B MOUNT VERNON RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384257",
            "telephone_number": "770-936-9707",
            "fax_number": "770-936-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MOUNT VERNON RD STE B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384257",
            "telephone_number": "770-936-9707",
            "fax_number": "770-936-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED BODY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "NEICHELLE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "678-438-3111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "008214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.