Active NPI
Dr. Michelle Oz LLC D/B/a Momentum Chiropractic
- Chiropractor
- Kennesaw, GA
National Provider Identifier
1619483328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009753
- Legal business name
- DR. MICHELLE OZ LLC D/B/A MOMENTUM CHIROPRACTIC
- Practice address
- 3900 Legacy Park Blvd NW
Kennesaw, GA 30144-7412 - Phone
- (470) 308-3754
- NPI assigned
- Dec 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle Lynn Oz, DC
- Title
- Doctor of Chiropractic
- Phone
- (470) 308-3754
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009753 | GA | Primary |
Addresses
Primary practice location
3900 Legacy Park Blvd NW
Kennesaw, GA 30144-7412
Mailing address
3900 Legacy Park Blvd NW
Kennesaw, GA 30144-7412
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHIR009753 | Other | GA | LICENSE |
| 1528515525 | Other | GA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1690 Stone Village Ln NW
Ste 702
Kennesaw, GA 30152
Phone (470) 308-3754
3900 Legacy Park Blvd NW
Kennesaw, GA 30144
Phone (404) 482-1943
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Marietta, GA
- NPI 1528515525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1619483328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 LEGACY PARK BLVD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 LEGACY PARK BLVD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447412",
"telephone_number": "470-308-3754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. MICHELLE OZ LLC D/B/A MOMENTUM CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-18",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "OZ",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "470-308-3754",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "CHIR009753",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1528515525",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
- Sonny Sandeep Singh Dosanjh, MD
- Douglas J. Deuchar, D.M.D., P.C.
- Paul Christopher Dozier, CRNA
- Dr Millis Medical Wellness Center
- Dr. Bruce E. Reid and Associates, PC (Town Center Eye Care)
- Diana Lynn Draghi, RBT, BCBA
- Dream Body, Inc
- Michael Ray Drennan, LPC
- Marie S Drinko, LIC. PROF. COUNSELOR
- Megan Bishop Driver, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.