Individual provider Active NPI

Angela Dawn King, D.C.

  • Chiropractor
  • Kennesaw, GA
National Provider Identifier
1649496415
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5816 Issued in GA
Practice address
1350 Wooten Lake Rd NW Ste 201
Kennesaw, GA 30144-1346
Phone
(770) 423-1799
NPI assigned
Apr 18, 2007
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5816 GA Primary

Addresses

Primary practice location

1350 Wooten Lake Rd NW Ste 201
Kennesaw, GA 30144-1346

Mailing address

1350 Wooten Lake Rd NW Ste 201
Kennesaw, GA 30144-1346
Phone (770) 423-1799

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
5816GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Body Works Chiropractic and Wellness Center, LLC Chiropractor PastSince Feb 28, 2006 Accepting new patients
Mudbone Productions Inc Chiropractor Past Accepting new patients
Kennesaw Health and Wellness Chiropractor PastSince Jan 3, 2005 Accepting new patients
Chiropractic Total Health Center, LLC Chiropractor Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1649496415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 WOOTEN LAKE RD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441346",
            "telephone_number": "770-423-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WOOTEN LAKE RD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441346",
            "telephone_number": "770-423-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.