Individual provider Active NPI

Eriidina Liiza Ojiiwawh, D.C.

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1609057645
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008005 Issued in GA
Practice address
235 E Ponce de Leon Ave
Suite 109
Decatur, GA 30030-3452
Phone
(404) 826-2819
NPI assigned
Nov 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008005 GA Primary

Addresses

Primary practice location

235 E Ponce de Leon Ave
Suite 109
Decatur, GA 30030-3452

Mailing address

322 Hillside Village Dr SE
Atlanta, GA 30317-3147
Phone (404) 438-4955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008005GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Onespirit Chiropractic & Welllness Center, PC Chiropractor CurrentSince Jan 8, 2011 Accepting new patients
Onespirit Chiropractic and Wellness Center, LLC Current Accepting new patients

Locations

235 E Ponce de Leon Ave
Ste 109
Decatur, GA 30030
Phone (404) 826-1425

315 W Ponce de Leon Ave
Ste 454
Decatur, GA 30030
Phone (404) 438-4955

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1609057645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 HILLSIDE VILLAGE DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303173147",
            "telephone_number": "404-438-4955",
            "fax_number": "404-549-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE",
            "address_2": "SUITE 109",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303452",
            "telephone_number": "404-826-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJIIWAWH",
        "first_name": "ERIIDINA",
        "middle_name": "LIIZA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.