Organization Active NPI

Foundation Chiropractic PC

  • Chiropractor
  • Athens, GA
National Provider Identifier
1659613867
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005487 Issued in GA
Legal business name
FOUNDATION CHIROPRACTIC PC
Practice address
1060 Gaines School Rd
Suite C
Athens, GA 30605-3198
Phone
(706) 546-1616
Fax
(866) 667-9978
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Richard Whitaker, DC
Title
President
Phone
(706) 546-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR005487 GA Primary

Addresses

Primary practice location

1060 Gaines School Rd
Suite C
Athens, GA 30605-3198

Mailing address

1060 Gaines School Rd
Suite C
Athens, GA 30605-3198
Phone (706) 546-1616

National Provider Directory

National Provider Directory

Locations

1060 Gaines School Rd
Ste C
Athens, GA 30605
Phone (706) 546-1616

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1659613867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAINES SCHOOL RD",
            "address_2": "SUITE C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053198",
            "telephone_number": "706-546-1616",
            "fax_number": "866-667-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAINES SCHOOL RD",
            "address_2": "SUITE C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053198",
            "telephone_number": "706-546-1616",
            "fax_number": "866-667-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-546-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.