Selano Chiropractic Center, Inc.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

SELANO CHIROPRACTIC CENTER, INC.

Doing business as

Regen Osteo

Practice address

243 Merchants Drive
Dallas, GA 30132

Phone

(770) 445-1362

Fax

(770) 445-5860

NPI assigned

Apr 26, 2007

Last updated

May 24, 2022By 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. Jeffrey L Selano, DC

Title

Clinc Director

Phone

(770) 445-1362

Specialties & licenses 4

Addresses

Other names 1

• Regen Osteo Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Tax ID family

Selano Chiropractic Center2 organizations share this tax ID, including this one

Practitioners 3

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.

• Tammie Small McCallie, DC

  • Chiropractor
  • Dallas, GA
  • NPI 1265556948
  Medicare reassignment Care Compare group NPD
• Catherine Wallace, MD

  • General Practice Physician
  • Dallas, GA
  • NPI 1154946606
  Medicare reassignment Care Compare group NPD
• Steve O Odeh, M.D

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bremen, GA
  • NPI 1801940200
  Medicare reassignment NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1609096213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320008",
            "telephone_number": "770-445-1362",
            "fax_number": "770-445-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 MERCHANTS DRIVE",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "30132",
            "telephone_number": "770-445-1362",
            "fax_number": "770-445-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELANO CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "SELANO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINC DIRECTOR",
        "authorized_official_telephone_number": "770-445-1362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005181",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regen Osteo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Noel Scrimo, LPC
• Nisa Janai Seals, LMSW
• Ashburn P Searcy, MD
• Second Chance Or More Counseling Services
• Selano Chiropractic Center Inc (Regen Osteo)
• Halli E Selman, CSFA
• Breshona Breana Sereal, RBT
• Sheetal Shah, PHARMD
• Shaping Dreams, LLC
• Jimi Sharomi, PHARMD

• Physician Assistant in Dallas, GA
• Providers in Dallas, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.