Organization Active NPI

Beactive,LLC

  • Pediatric Chiropractor
  • Sandy Springs, GA
National Provider Identifier
1609549443
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
Legal business name
BEACTIVE,LLC
Practice address
6065 Roswell Rd Ste 830
Sandy Springs, GA 30328-4049
Phone
(470) 529-4636
NPI assigned
Jul 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Carla Marrero Sanchez, DC
Title
Chiropractor/ Ceo
Phone
(787) 449-8263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X Primary

Addresses

Primary practice location

6065 Roswell Rd Ste 830
Sandy Springs, GA 30328-4049

Mailing address

875 Franklin Gtwy SE Apt 628
Marietta, GA 30067-2921
Phone (787) 449-8263

Other names 1

  • BeActive Health & Wellness Other name

National Provider Directory

National Provider Directory

Locations

6065 Roswell Rd
Ste 830
Sandy Springs, GA 30328
Phone (470) 529-4636

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1609549443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 FRANKLIN GTWY SE APT 628",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300672921",
            "telephone_number": "787-449-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 ROSWELL RD STE 830",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284049",
            "telephone_number": "470-529-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACTIVE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "MARRERO",
        "authorized_official_title_or_position": "CHIROPRACTOR/ CEO",
        "authorized_official_telephone_number": "787-449-8263",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BeActive Health & Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.