NPIMap

Organization Active NPI

Jyoti Corporation, LLC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1649948894
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JYOTI CORPORATION, LLC
Practice address
3855 Shallowford Rd Ste 410
Marietta, GA 30062-4197
Phone
(770) 353-9339
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Dr. Milan Modi, DCNPI 1528677499
Title
Owner
Phone
(770) 353-9339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3855 Shallowford Rd Ste 410
Marietta, GA 30062-4197

Mailing address

3855 Shallowford Rd Ste 410
Marietta, GA 30062-4197
Phone (770) 353-9339

National Provider Directory

National Provider Directory

Locations

3855 Shallowford Rd
Ste 410
Marietta, GA 30062
Phone (770) 353-9339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1649948894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD STE 410",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624197",
            "telephone_number": "770-353-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD STE 410",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624197",
            "telephone_number": "770-353-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYOTI CORPORATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "MILAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-353-9339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Sep 2, 2021; 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.