Organization Active NPI

Kachinsky Family Chiropractic LLC

  • Point of Service
  • Cartersville, GA
National Provider Identifier
1629392212
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
8029 Issued in GA
Legal business name
KACHINSKY FAMILY CHIROPRACTIC LLC
Practice address
607 N Tennessee St
Cartersville, GA 30120-2824
Phone
(770) 607-5428
Fax
(770) 607-9638
NPI assigned
Mar 25, 2010
Last updated
Mar 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
Dr. Jill Kachinsky, D.C.NPI 1376622233
Title
Owner
Phone
(770) 607-5428

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)CodeLicenseStatePrimary
Point of Service 305S00000X 8029 GA Primary

Addresses

Primary practice location

607 N Tennessee St
Cartersville, GA 30120-2824

Mailing address

PO Box 2795
Cartersville, GA 30120-1697
Phone (770) 607-5428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100421000458 GA Part B Supplier - Clinic/Group Practice 2769519834 Receives reassigned benefits from 1 practitioner
Practice locations: Cartersville, GA

National Provider Directory

National Provider Directory

Locations

607 N Tennessee St
Cartersville, GA 30120
Phone (770) 386-6243

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1629392212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2795",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301201697",
            "telephone_number": "770-607-5428",
            "fax_number": "770-607-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 N TENNESSEE ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202824",
            "telephone_number": "770-607-5428",
            "fax_number": "770-607-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KACHINSKY FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "KACHINSKY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-607-5428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "8029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.