Ballard Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR002276 Issued in GA

Legal business name

BALLARD CHIROPRACTIC CLINIC, P.C.

Practice address

3506 Cherokee St NW
Kennesaw, GA 30144-1910

Phone

(770) 426-6639

Fax

(770) 426-0810

NPI assigned

Jun 19, 2007

Last updated

Oct 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Anne Ballard, D.C.NPI 1073690673

Title

Owner

Phone

(770) 426-6639

Specialties & licenses 1

Addresses

Locations

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.

• Carolyn Ballard, D.C.

  • Chiropractor
  • Kennesaw, GA
  • NPI 1073690673
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1588869622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 CHEROKEE ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441910",
            "telephone_number": "770-426-6639",
            "fax_number": "770-426-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 CHEROKEE ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441910",
            "telephone_number": "770-426-6639",
            "fax_number": "770-426-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-426-6639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Baker, DC
• Michael F Baker, RPH
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• Carolyn Ballard, D.C.
• Steven J Balmes, PT
• Amari Banks, OTR/L
• McKenzie Lynn Banks
• Angela Baptiste

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.