Active NPI
Nico Anthony Staples, D.C.
- Chiropractor
- Marietta, GA
National Provider Identifier
1649650615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009463
- Practice address
- 125 Barrett Pkwy
Marietta, GA 30066-3331 - Phone
- (678) 324-1016
- Fax
- (678) 401-7647
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | CHIR009463 | GA | Primary |
Addresses
Primary practice location
125 Barrett Pkwy
Marietta, GA 30066-3331
Mailing address
2292 Twiggs CV NW
Kennesaw, GA 30152-4208
Phone (708) 712-4973
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 100 Percent Chiropractic Atlanta Seven LLC | Chiropractor | Current | Accepting new patients |
| 100 Percent Chiropractic Maassen LLC | Chiropractor | Past | Accepting new patients |
| 100 Chiro Staples Midtown PC | Chiropractor | Past | Accepting new patients |
| 100 Chiropractic Staples Sims PLLC | Chiropractor | Past | Accepting new patients |
Locations
125 Ernest Barrett Pkwy
Marietta, GA 30066
Phone (678) 324-1016
125 Ernest Barrett Pkwy
Ste 104
Marietta, GA 30066
Phone (678) 324-1016
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Marietta, GA
- NPI 1932584083
-
- Chiropractor
- Atlanta, GA
- NPI 1003664822
-
- Chiropractor
- Seven Fields, PA
- NPI 1124858600
-
- Chiropractor
- Woodstock, GA
- NPI 1255998464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1649650615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2292 TWIGGS CV NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301524208",
"telephone_number": "708-712-4973",
"fax_number": "678-401-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BARRETT PKWY",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300663331",
"telephone_number": "678-324-1016",
"fax_number": "678-401-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLES",
"first_name": "NICO",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.