Active NPI
Karen Joanne Boden, D.C.
- Chiropractor
- Smyrna, GA
National Provider Identifier
1528085214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007815
- Practice address
- 4425 S Cobb Dr SE
Suite G
Smyrna, GA 30080-6368 - Phone
- (770) 444-9191
- Fax
- (770) 444-9391
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007815 | GA | Primary |
Addresses
Primary practice location
4425 S Cobb Dr SE
Suite G
Smyrna, GA 30080-6368
Mailing address
1818 Ashborough Rd SE Apt a
Marietta, GA 30067-6930
Phone (404) 409-4619
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 |
|---|---|---|---|
| CHIR007815 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Health Georgia, P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Smyrna, GA
- NPI 1598782286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528085214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 ASHBOROUGH RD SE APT A",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300676930",
"telephone_number": "404-409-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 S COBB DR SE",
"address_2": "SUITE G",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806368",
"telephone_number": "770-444-9191",
"fax_number": "770-444-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODEN",
"first_name": "KAREN",
"middle_name": "JOANNE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, 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.