Individual provider Active NPI

Sandra Bohorquez, DC

  • Internist Chiropractor
  • Atlanta, GA
National Provider Identifier
1679897227
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
CHIR008156 Issued in GA
Practice address
5505 Roswell Rd
Suite 275
Atlanta, GA 30342-1985
Phone
(404) 567-5774
NPI assigned
Mar 24, 2010
Last updated
Mar 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X CHIR008156 GA Primary
Sports Physician Chiropractor 111NS0005X CHIR008156 GA

Addresses

Primary practice location

5505 Roswell Rd
Suite 275
Atlanta, GA 30342-1985

Mailing address

5505 Roswell Rd
Suite 275
Atlanta, GA 30342-1985
Phone (404) 567-5774

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008156GAMDInternist Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1679897227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 ROSWELL RD",
            "address_2": "SUITE 275",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421985",
            "telephone_number": "404-567-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 ROSWELL RD",
            "address_2": "SUITE 275",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421985",
            "telephone_number": "404-567-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHORQUEZ",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "GA",
            "license": "CHIR008156",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "CHIR008156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.