Family Tree Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4388 Issued in NC

Legal business name

FAMILY TREE CHIROPRACTIC PLLC

Practice address

3988 Llewellin LN SW
Smyrna, GA 30082-3557

Phone

(734) 765-9448

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Jean Bunge, D.C.

Title

Owner/Chiropractor

Phone

(734) 765-9448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1528495207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3988 LLEWELLIN LN SW",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823557",
            "telephone_number": "734-765-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 LLEWELLIN LN SW",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823557",
            "telephone_number": "734-765-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "BUNGE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "734-765-9448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaelore Giavanni Faison
• Michaela Shea Fallon, PT, DPT
• Families First
• Family Behavioral Center P.C.
• Family Healthcare of Smyrna, P.C.
• Caragh Kelly Fane-Hervey
• Brandi Fannon, PHARMD
• Qadan Farah
• No Name Given Fathima Ambrin, DDS
• Amaya Faulkner-Taylor

• 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 Oct 30, 2013; 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.