Spinal Check Foundation LLC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CHIR008556 Issued in GA

Legal business name

SPINAL CHECK FOUNDATION LLC

Practice address

2710 Town Center Dr NW
Ste 104
Kennesaw, GA 30144-4903

Phone

(770) 795-0453

Fax

(770) 795-0454

NPI assigned

Jan 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Justin M Tinsley, DCNPI 1164744058

Title

Owner/Director

Phone

(770) 795-0453

Specialties & licenses 1

Addresses

Other names 1

• Spinal Check Foundation LLC Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Justin Michael Tinsley, DC

  • Neurology Chiropractor
  • Kennesaw, GA
  • NPI 1164744058
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1568767069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 TOWN CENTER DR NW",
            "address_2": "STE 104",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444903",
            "telephone_number": "770-795-0453",
            "fax_number": "770-795-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 TOWN CENTER DR NW",
            "address_2": "STE 104",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444903",
            "telephone_number": "770-795-0453",
            "fax_number": "770-795-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CHECK FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "770-795-0453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "GA",
            "license": "CHIR008556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Check Foundation LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Neurology Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Neurology Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.