NPIMap

Organization Active NPI

Peachtree Chiropractic Center

  • Clinic/Center
  • Duluth, GA
National Provider Identifier
1588960835
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIR008322 Issued in GA
Legal business name
PEACHTREE CHIROPRACTIC CENTER
Practice address
3294 Peachtree Industrial Blvd
Suite 2005
Duluth, GA 30096-8322
Phone
(770) 232-1313
Fax
(770) 232-1317
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Dr. Shawn S. Pak, D.C.
Title
Chiropractor
Phone
(770) 232-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CHIR008322 GA Primary

Addresses

Primary practice location

3294 Peachtree Industrial Blvd
Suite 2005
Duluth, GA 30096-8322

Mailing address

3294 Peachtree Industrial Blvd
Suite 2005
Duluth, GA 30096-8322
Phone (770) 232-1313

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1588960835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3294 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 2005",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968322",
            "telephone_number": "770-232-1313",
            "fax_number": "770-232-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 2005",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968322",
            "telephone_number": "770-232-1313",
            "fax_number": "770-232-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-232-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR008322",
            "primary": true
        }
    ],
    "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 Feb 3, 2011; 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.