Individual provider Active NPI

Sonia M Crespo, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1689828329
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007457 Issued in GA
Practice address
2359 Windy Hill Rd SE
Suite 320
Marietta, GA 30067-8638
Phone
(770) 988-0033
Fax
(770) 988-0220
NPI assigned
Nov 7, 2008
Last updated
Nov 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007457 GA Primary

Addresses

Primary practice location

2359 Windy Hill Rd SE
Suite 320
Marietta, GA 30067-8638

Mailing address

2359 Windy Hill Rd SE
Suite 320
Marietta, GA 30067-8638
Phone (770) 988-0033

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
CHIR007457GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Physical Rehab, L.L.C. Past Accepting new patients
Cobb Pain and Rehabilitation Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1689828329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 WINDY HILL RD SE",
            "address_2": "SUITE 320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678638",
            "telephone_number": "770-988-0033",
            "fax_number": "770-988-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 WINDY HILL RD SE",
            "address_2": "SUITE 320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678638",
            "telephone_number": "770-988-0033",
            "fax_number": "770-988-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "SONIA",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007457",
            "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 Nov 7, 2008; 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.