NPIMap

Organization Active NPI

Rest and Restore Chiropractic Inc

  • Clinic/Center
  • Doraville, GA
National Provider Identifier
1669815833
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIR008938 Issued in GA
Legal business name
REST AND RESTORE CHIROPRACTIC INC
Practice address
5000 Winters Chapel Rd
Suite 1
Doraville, GA 30360-1746
Phone
(678) 215-6146
Fax
(678) 528-5097
NPI assigned
Apr 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Dr. Serena Gayles, DCNPI 1023380060
Title
Ceo
Phone
(678) 215-6146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CHIR008938 GA Primary

Addresses

Primary practice location

5000 Winters Chapel Rd
Suite 1
Doraville, GA 30360-1746

Mailing address

5000 Winters Chapel Rd
Suite 1
Doraville, GA 30360-1746
Phone (678) 215-6146

National Provider Directory

National Provider Directory

Locations

5000 Winters Chapel Rd
Ste 1
Dunwoody, GA 30360
Phone (678) 855-6611

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1669815833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WINTERS CHAPEL RD",
            "address_2": "SUITE 1",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303601746",
            "telephone_number": "678-215-6146",
            "fax_number": "678-528-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WINTERS CHAPEL RD",
            "address_2": "SUITE 1",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303601746",
            "telephone_number": "678-215-6146",
            "fax_number": "678-528-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REST AND RESTORE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "GAYLES",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-215-6146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR008938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.