Active NPI
Brian E. Ouellette, D.C.
- Chiropractor
- Alpharetta, GA
National Provider Identifier
1649300948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005929
- Practice address
- 11550 Jones Bridge Rd
Suite 4
Alpharetta, GA 30022-4540 - Phone
- (678) 297-0901
- Fax
- (678) 297-0903
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 005929 | GA | Primary |
Addresses
Primary practice location
11550 Jones Bridge Rd
Suite 4
Alpharetta, GA 30022-4540
Mailing address
11550 Jones Bridge Rd
Suite 4
Alpharetta, GA 30022-4540
Phone (678) 297-0901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005929 | GA | MD | Chiropractor |
| 5929 | GA | MD | Anesthesiologist Assistant |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Alpharetta, GA
- NPI 1487951034
-
- Rehabilitation Chiropractor
- Alpharetta, GA
- NPI 1497165773
-
- Chiropractor
- New York, NY
- NPI 1265632061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649300948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11550 JONES BRIDGE RD",
"address_2": "SUITE 4",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300224540",
"telephone_number": "678-297-0901",
"fax_number": "678-297-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11550 JONES BRIDGE RD",
"address_2": "SUITE 4",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300224540",
"telephone_number": "678-297-0901",
"fax_number": "678-297-0903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUELLETTE",
"first_name": "BRIAN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "005929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
- Ossatron Services of Tampa Bay I
- Ossatron Services of Tampa Bay II
- Richard Estes Ottinger Jr., LPC
- Abby Holt Otto, M.D.
- Katharine Cumming Otto, MD
- Kendra Nicole Ousley, DMD
- Outcomes Health Connections, LLC
- Outpatient Behavioral Health, LLC (Northside Psychological Services)
- Marinda Sisler Owens, MS CCC-SLP
- P Michael Skaliy MD PC (Atlanta Perioperative Consultants)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.