Vickery Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR006074 Issued in GA

Legal business name

VICKERY CHIROPRACTIC, LLC

Practice address

5830 Clarion St
Ste 101
Cumming, GA 30040-0380

Phone

(678) 947-4449

Fax

(678) 455-3655

NPI assigned

May 30, 2014

Organization subpart

No

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

Authorized official

Name

Kyle Pepple, DC

Title

Ceo

Phone

(678) 947-4449

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1619389228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 CLARION ST",
            "address_2": "STE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400380",
            "telephone_number": "678-947-4449",
            "fax_number": "678-455-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 CLARION ST",
            "address_2": "STE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400380",
            "telephone_number": "678-947-4449",
            "fax_number": "678-455-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKERY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "PEPPLE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-947-4449",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.