Individual provider Active NPI

Joseph G Guagliardo, D.C.

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1558533737
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007701 Issued in GA
Practice address
2419 Stonebridge LN
Duluth, GA 30096-4576
Phone
(404) 272-9754
NPI assigned
Mar 28, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007701 GA Primary
Chiropractor 111N00000X 3301 WI

Addresses

Primary practice location

2419 Stonebridge LN
Duluth, GA 30096-4576

Mailing address

2419 Stonebridge LN
Duluth, GA 30096-4576
Phone (404) 272-9754

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

State licenses

LicenseStateTypeSpecialty
CHIR007701GAMDChiropractor
3301WIMDChiropractor
3001WIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
McAvoy Chiropractic, LLC Chiropractor PastSince Jan 1, 2017 Accepting new patients
Krsko Chiropractic S.C. Chiropractor PastSince Apr 1, 2011 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1558533737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 STONEBRIDGE LN",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964576",
            "telephone_number": "404-272-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 STONEBRIDGE LN",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964576",
            "telephone_number": "404-272-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAGLIARDO",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007701",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.