Eden Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EDEN CHIROPRACTIC, LLC

Practice address

1630 Buford Hwy Ste 6
Buford, GA 30518-3630

Phone

(770) 945-0561

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Hannah Driver, DCNPI 1063067742

Title

Owner

Phone

(916) 616-6897

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah R Driver, DC

  • Chiropractor
  • Buford, GA
  • NPI 1063067742
  Medicare reassignment Care Compare group NPD Authorized official
• Kyle W Vondeylen, D.C.

  • Chiropractor
  • Buford, GA
  • NPI 1639189731
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1720696248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 BUFORD HWY STE 6",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183630",
            "telephone_number": "770-945-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 BUFORD HWY STE 6",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183630",
            "telephone_number": "770-945-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-616-6897",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nichol Eilts
• Walter Elate
• Hind Hamid Elhag, DMD

• Chiropractor in Buford, GA
• Providers in Buford, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.