Individual provider Active NPI

Eva Vesela Elsangak, DC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1649301995
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2943 Issued in GA
Practice address
4840 Roswell Rd
BLDG D Ste 200
Atlanta, GA 30342-2639
Phone
(404) 256-5513
Fax
(404) 256-0413
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2943 GA Primary

Addresses

Primary practice location

4840 Roswell Rd
BLDG D Ste 200
Atlanta, GA 30342-2639

Mailing address

4840 Roswell Rd
BLDG D Ste 200
Atlanta, GA 30342-2639
Phone (404) 256-5513

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

LicenseStateTypeSpecialty
2943GAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: eva.elsangak.p1@direct.life.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1649301995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 ROSWELL RD",
            "address_2": "BLDG D STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422639",
            "telephone_number": "404-256-5513",
            "fax_number": "404-256-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 ROSWELL RD",
            "address_2": "BLDG D STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422639",
            "telephone_number": "404-256-5513",
            "fax_number": "404-256-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSANGAK",
        "first_name": "EVA",
        "middle_name": "VESELA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.