Organization Active NPI

Neu Life Chiropractic

  • Clinic/Center
  • Riverdale, GA
National Provider Identifier
1588818330
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5093 Issued in GA
Legal business name
NEU LIFE CHIROPRACTIC
Practice address
6511 Church St
Riverdale, GA 30274-2106
Phone
(770) 997-5625
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dawn A. Robinson, D.C.NPI 1790015147
Title
Doctor
Phone
(770) 997-5625

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
Clinic/Center 261Q00000X 5093 GA Primary

Addresses

Primary practice location

6511 Church St
Riverdale, GA 30274-2106

Mailing address

6511 Church St
Riverdale, GA 30274-2106
Phone (770) 997-5625

Other identifiers 1

IdentifierTypeStateIssuer
00608968AMedicaidGA

National Provider Directory

National Provider Directory

Locations

6511 Church St
Riverdale, GA 30274
Phone (770) 997-5625

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": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1588818330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 CHURCH ST",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742106",
            "telephone_number": "770-997-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 CHURCH ST",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742106",
            "telephone_number": "770-997-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEU LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-997-5625",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "5093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00608968A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.