Southeast Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008512 Issued in GA

Legal business name

SOUTHEAST CHIROPRACTIC LLC

Practice address

775 Kings Bay Rd Ste a
Saint Marys, GA 31558-3886

Phone

(912) 576-1234

Fax

(912) 510-5000

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Heidi Zubeck, D.C.

Title

Manager

Phone

(912) 585-7124

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norman Dabalos, D.C.

  • Chiropractor
  • Kailua, HI
  • NPI 1700077708
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1649514761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775-A KINGS BAY RD",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-576-1234",
            "fax_number": "912-510-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 KINGS BAY RD STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583886",
            "telephone_number": "912-576-1234",
            "fax_number": "912-510-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "ZUBECK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-585-7124",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF PROVIDER",
            "identifier": "1356670749",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaunta Simmons, RBT
• Edward J Smith, D.C. P.C.
• Joshua Smith, CRNA
• Christine Snyder
• Social Works LLC
• Southeast Georgia Health System, Inc. (Southeast Georgia Health System - Camden Campus)
• Southeast Georgia Health System, Inc. (Senior Care Center - St. Marys)
• Southeast Georgia Radiology
• Bonnie Renee Spencer, LAPC
• Richard L Spencer, DDS

• Chiropractor in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.