Vettraino Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VETTRAINO CHIROPRACTIC, LLC

Practice address

2632 Gladstone Ter
Woodstock, GA 30189-6883

Phone

(678) 634-2422

NPI assigned

Aug 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Vettraino, DCNPI 1801628722

Title

Director

Phone

(678) 510-6260

Specialties & licenses 1

Addresses

Other names 1

• Vettraino Chiropractic Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Anthony Vettraino, DC

  • Chiropractor
  • Woodstock, GA
  • NPI 1801628722
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1548093388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 GLADSTONE TER",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896883",
            "telephone_number": "678-634-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 GLADSTONE TER",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896883",
            "telephone_number": "678-634-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETTRAINO CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "VETTRAINO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-510-6260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vettraino Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rhonda L Vaughn, R.N.
• Vcoleman Enterprise LLC
• Perla Ornelas Vega
• Giovani Velez, DPT
• Gregory Paul Vescera, PT, DPT
• Mark Anthony Vettraino, DC
• Sydney Alexandra Vick, OT
• Lisa A. Vickers, LPC
• Village Podiatry Group, LLC
• Village Podiatry Group, LLC

• All providers in Woodstock, GA
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.