Organization Active NPI

Spinealign Center LLC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1497268494
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008915 Issued in GA
Legal business name
SPINEALIGN CENTER LLC
Practice address
1195 Fairburn Rd SW
Atlanta, GA 30331-2150
Phone
(678) 974-5462
NPI assigned
Nov 13, 2017
Last updated
Nov 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Dr. Sherra Conde, DC
Title
Owner
Phone
(678) 974-5462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008915 GA Primary

Addresses

Primary practice location

1195 Fairburn Rd SW
Atlanta, GA 30331-2150

Mailing address

1195 Fairburn Rd SW
Atlanta, GA 30331-2150
Phone (678) 974-5462

National Provider Directory

National Provider Directory

Locations

1195 Fairburn Rd SW
Atlanta, GA 30331
Phone (678) 974-5462

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": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1497268494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 FAIRBURN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312150",
            "telephone_number": "678-974-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 FAIRBURN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312150",
            "telephone_number": "678-974-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEALIGN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "CONDE",
        "authorized_official_first_name": "SHERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-974-5462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008915",
            "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 Nov 13, 2017; 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.