NPIMap

Organization Active NPI

Action Chiropractic Center

  • Chiropractor
  • Kennesaw, GA
National Provider Identifier
1689892309
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002915 Issued in GA
Legal business name
ACTION CHIROPRACTIC CENTER
Practice address
4290 Bells Ferry Rd NW
Suite #118
Kennesaw, GA 30144-7140
Phone
(770) 924-4700
Fax
(770) 924-4713
NPI assigned
Apr 20, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Jens Emilio Valle, D.C.NPI 1134172240
Title
President
Phone
(770) 924-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 002915 GA Primary

Addresses

Primary practice location

4290 Bells Ferry Rd NW
Suite #118
Kennesaw, GA 30144-7140

Mailing address

4290 Bells Ferry Rd NW
Suite #118
Kennesaw, GA 30144-7140
Phone (770) 924-4700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1689892309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 BELLS FERRY RD NW",
            "address_2": "SUITE #118",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447140",
            "telephone_number": "770-924-4700",
            "fax_number": "770-924-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 BELLS FERRY RD NW",
            "address_2": "SUITE #118",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447140",
            "telephone_number": "770-924-4700",
            "fax_number": "770-924-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "JENS",
        "authorized_official_middle_name": "EMILIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-924-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "002915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.