Organization Active NPI

Canton Wellness Center LLC

  • Chiropractor
  • Canton, GA
National Provider Identifier
1538583752
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005446 Issued in GA
Legal business name
CANTON WELLNESS CENTER LLC
Practice address
1558 Marietta Hwy
Suite 100
Canton, GA 30114-3616
Phone
(770) 310-2086
Fax
(770) 992-3676
NPI assigned
Feb 7, 2014
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
John C Meiners, DCNPI 1831286343
Title
Owner/Doctor
Phone
(770) 720-4090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR005446 GA Primary

Addresses

Primary practice location

1558 Marietta Hwy
Suite 100
Canton, GA 30114-3616

Mailing address

PO Box 1057
Canton, GA 30169-1057
Phone (770) 310-2086

National Provider Directory

National Provider Directory

Locations

1558 Marietta Hwy
Ste 100
Canton, GA 30114
Phone (770) 310-2086

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": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1538583752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1057",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301691057",
            "telephone_number": "770-310-2086",
            "fax_number": "770-992-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 MARIETTA HWY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143616",
            "telephone_number": "770-310-2086",
            "fax_number": "770-992-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "MEINERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "770-720-4090",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.