NPIMap

Organization Active NPI

Selano Chiropractic Center Inc

Doing business as Regen Osteo

  • Physician Assistant
  • Dallas, GA
National Provider Identifier
1558008771
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
SELANO CHIROPRACTIC CENTER INC
Doing business as
Regen Osteo
Practice address
243 Merchants Dr
Dallas, GA 30132-4749
Phone
(770) 445-1362
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Jeff Selano, DC
Title
Manager / Partial Owner
Phone
(770) 445-1362

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Family Medicine Physician 207Q00000X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

243 Merchants Dr
Dallas, GA 30132-4749

Mailing address

243 Merchants Dr
Dallas, GA 30132-4749
Phone (770) 445-1362

Other names 1

  • Regen Osteo Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1558008771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 MERCHANTS DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324749",
            "telephone_number": "770-445-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 MERCHANTS DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324749",
            "telephone_number": "770-445-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELANO CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "SELANO",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGER / PARTIAL OWNER",
        "authorized_official_telephone_number": "770-445-1362",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regen Osteo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.