Vishwmitr Poonai Sr., DC DOCTOR OF CHIROPR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR006893 Issued in GA

Practice address

560A Windy Hill Rd SE
Clinica del Dolor
Smyrna, GA 30080

Phone

(678) 213-2082

Fax

(678) 213-2082

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Taylor Blvd Chiropractic

  • Chiropractor
  • Louisville, KY
  • NPI 1821313529
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518081918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560A WINDY HILL RD SE",
            "address_2": "CLINICA DEL DOLOR",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "678-213-2082",
            "fax_number": "678-213-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560A WINDY HILL RD SE",
            "address_2": "CLINICA DEL DOLOR",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "678-213-2082",
            "fax_number": "678-213-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POONAI",
        "first_name": "VISHWMITR",
        "name_suffix": "Sr.",
        "credential": "DC DOCTOR OF CHIROPR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Chiropractor in Georgia

• 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.

Verify at the official NPI Registry.