Individual provider Active NPI

Jodi Lyn Gonteski, DC

  • Chiropractor
  • Snellville, GA
National Provider Identifier
1538238795
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006238 Issued in GA
Practice address
2164 North Rd
Snellville, GA 30078-2668
Phone
(678) 344-3433
Fax
(678) 344-4548
NPI assigned
Nov 6, 2006
Last updated
Oct 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006238 GA Primary

Addresses

Primary practice location

2164 North Rd
Snellville, GA 30078-2668

Mailing address

2164 North Rd
Snellville, GA 30078-2668
Phone (678) 344-3433

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)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1538238795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 NORTH RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782668",
            "telephone_number": "678-344-3433",
            "fax_number": "678-344-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 NORTH RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782668",
            "telephone_number": "678-344-3433",
            "fax_number": "678-344-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONTESKI",
        "first_name": "JODI",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.