Todd Supnick DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007097 Issued in GA

Legal business name

TODD SUPNICK DC PC

Practice address

2829 Dallas St
Ste B
Kennesaw, GA 30144-2722

Phone

(770) 262-1909

NPI assigned

Aug 25, 2009

Last updated

Aug 25, 2009By 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. Todd Michael Supnick, DC

Title

Owner

Phone

(770) 262-1909

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1598998510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 DALLAS ST",
            "address_2": "STE B",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442722",
            "telephone_number": "770-262-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 DALLAS ST",
            "address_2": "STE B",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442722",
            "telephone_number": "770-262-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD SUPNICK DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "SUPNICK",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-262-1909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cummings Tillery, LPC, NCC
• Sharika Tillman, FNP -BC
• Tiara Timothy
• Justin Michael Tinsley, DC
• Octavio Andres Tobar
• Jerry Tee Todd, M.D.
• Laura Todd, LPN
• Tyanne Jahnae Topps
• Craig Torell, M.A., M.DIV., LPC
• Elisa Torell

• 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 Aug 25, 2009; 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.