Atlanta Upper Cervical Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ATLANTA UPPER CERVICAL CHIROPRACTIC LLC

Practice address

125 E Trinity Place
Suite #247
Decatur, GA 30030

Phone

(470) 347-3737

Fax

(470) 347-3738

NPI assigned

Oct 29, 2019

Last updated

Oct 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Baxter Smith, D.C.NPI 1477063980

Title

Clinic Director/Owner

Phone

(470) 347-3737

Specialties & licenses 1

Addresses

Locations

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.

• Baxter Smith, DC

  • Chiropractor
  • Seattle, WA
  • NPI 1477063980
  NPD Authorized official

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633824000000",
    "number": "1669016143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E TRINITY PLACE",
            "address_2": "SUITE #247",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "470-347-3737",
            "fax_number": "470-347-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E TRINITY PLACE",
            "address_2": "SUITE #247",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "470-347-3737",
            "fax_number": "470-347-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA UPPER CERVICAL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BAXTER",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/OWNER",
        "authorized_official_telephone_number": "470-347-3737",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.