Bolen Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001396 Issued in GA

Legal business name

BOLEN CHIROPRACTIC, INC.

Practice address

78 Scenic Hwy
Lawrenceville, GA 30045-5729

Phone

(770) 513-1591

Fax

(770) 513-0221

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert T. Bolen, D.C.

Title

President

Phone

(770) 513-1591

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Canning, BSC, DC

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1326426537
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609951722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455729",
            "telephone_number": "770-513-1591",
            "fax_number": "770-513-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455729",
            "telephone_number": "770-513-1591",
            "fax_number": "770-513-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLEN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-513-1591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "001396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliette Bodie
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• Katherine H Boggs, LCSW
• John G Bojack, CRNA
• Bold Steps ABA of Ga LLC
• Angela Y Bolger, CRNP
• Kavita Vanguru Bollavaram, M.D
• Bolt Eye Group - Lawrenceville LLC
• Katherine Bonas, M.ED., CCC-SLP
• Pauline Carmela Bondoc-Roaquin, P.T.

• Chiropractor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.