Organization Active NPI

Mark Eric White, LLC

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1710144936
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR004955 Issued in GA
Legal business name
MARK ERIC WHITE, LLC
Practice address
45 W Crossville Rd
Suite 503
Roswell, GA 30075-2964
Phone
(770) 587-5844
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mark White, DC
Title
Managing Partner
Phone
(770) 587-5844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR004955 GA Primary

Addresses

Primary practice location

45 W Crossville Rd
Suite 503
Roswell, GA 30075-2964

Mailing address

1450 Laleiah Dr
Cumming, GA 30041-9511
Phone (770) 234-6044

Other names 1

  • Absolute Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

45 W Crossville Rd
Ste 503
Roswell, GA 30075
Phone (678) 461-3512

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1710144936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 LALEIAH DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419511",
            "telephone_number": "770-234-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W CROSSVILLE RD",
            "address_2": "SUITE 503",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752964",
            "telephone_number": "770-587-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ERIC WHITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "770-587-5844",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR004955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.