Organization Active NPI

Kaiser Family Chiropractic Center, P.C.

  • Chiropractor
  • Fairburn, GA
National Provider Identifier
1699041293
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005152 Issued in GA
Legal business name
KAISER FAMILY CHIROPRACTIC CENTER, P.C.
Practice address
8470 Senoia Rd
Fairburn, GA 30213-2870
Phone
(770) 306-2520
Fax
(770) 306-2201
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Paul F. Kaiser, D.C.NPI 1487743423
Title
President
Phone
(770) 306-2520

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR005152 GA Primary

Addresses

Primary practice location

8470 Senoia Rd
Fairburn, GA 30213-2870

Mailing address

PO Box 32
Tyrone, GA 30290-0032
Phone (770) 306-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000542 GA Part B Supplier - Clinic/Group Practice 8123280492 Receives reassigned benefits from 1 practitioner
Practice locations: Fairburn, GA

National Provider Directory

National Provider Directory

Locations

8470 Senoia Rd
Fairburn, GA 30213
Phone (770) 306-2520

Practitioners & affiliated clinicians

Practitioners 3

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": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1699041293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302900032",
            "telephone_number": "770-306-2520",
            "fax_number": "770-306-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8470 SENOIA RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132870",
            "telephone_number": "770-306-2520",
            "fax_number": "770-306-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FAMILY CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-306-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.