Organization Active NPI

Alpha Spine Center, Inc.

  • Chiropractor
  • Milton, GA
National Provider Identifier
1700181237
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006361 Issued in GA
Legal business name
ALPHA SPINE CENTER, INC.
Practice address
12220 Birmingham Hwy
Suite 40
Milton, GA 30004-4186
Phone
(770) 777-2377
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Dr. Bryan J. Salminen, D.CNPI 1811923626
Title
Owner
Phone
(770) 777-2377

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 CHIR006361 GA Primary

Addresses

Primary practice location

12220 Birmingham Hwy
Suite 40
Milton, GA 30004-4186

Mailing address

12220 Birmingham Hwy
Suite 40
Milton, GA 30004-4186
Phone (770) 777-2377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151104001293 GA Part B Supplier - Clinic/Group Practice 5294045258 Receives reassigned benefits from 2 practitioners
Practice locations: Milton, GA

National Provider Directory

National Provider Directory

Locations

12220 Birmingham Hwy
Bldg 40
Milton, GA 30004
Phone (770) 752-0085

Practitioners & affiliated clinicians

Practitioners 4

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": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1700181237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 BIRMINGHAM HWY",
            "address_2": "SUITE 40",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044186",
            "telephone_number": "770-777-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 BIRMINGHAM HWY",
            "address_2": "SUITE 40",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044186",
            "telephone_number": "770-777-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA SPINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "SALMINEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-777-2377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.