Individual provider Active NPI

Anne Zauderer, DC

  • Pediatric Chiropractor
  • Marietta, GA
National Provider Identifier
1679847198
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
CHIR008889 Issued in GA
Practice address
255 Village Pkwy NE
Suite 620
Marietta, GA 30067-4158
Phone
(770) 937-6300
Fax
(770) 937-9296
NPI assigned
Mar 1, 2012
Last updated
Mar 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X CHIR008889 GA Primary

Addresses

Primary practice location

255 Village Pkwy NE
Suite 620
Marietta, GA 30067-4158

Mailing address

255 Village Pkwy NE
Suite 620
Marietta, GA 30067-4158
Phone (770) 937-6300

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

State licenses

LicenseStateTypeSpecialty
CHIR008889GAMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rubin Family Chiropractic,P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1679847198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 VILLAGE PKWY NE",
            "address_2": "SUITE 620",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674158",
            "telephone_number": "770-937-6300",
            "fax_number": "770-937-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 VILLAGE PKWY NE",
            "address_2": "SUITE 620",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674158",
            "telephone_number": "770-937-6300",
            "fax_number": "770-937-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAUDERER",
        "first_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "GA",
            "license": "CHIR008889",
            "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 Mar 1, 2012; 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.