Alpharetta Back and Neck Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

GA1707 Issued in GA

Legal business name

ALPHARETTA BACK AND NECK CENTER

Doing business as

Alpharetta Back and Neck Center

Practice address

3502 Old Milton Pkwy
Alpharetta, GA 30005-4458

Phone

(251) 610-9614

Fax

(770) 997-1599

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Albert J Divagno, D.C.

Title

DC Owner

Phone

(251) 610-9614

Specialties & licenses 1

Addresses

Other names 1

• Alpharetta Back and Neck Center Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1730287582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054458",
            "telephone_number": "251-610-9614",
            "fax_number": "770-997-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054458",
            "telephone_number": "251-610-9614",
            "fax_number": "770-997-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHARETTA BACK AND NECK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "DIVAGNO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DC OWNER",
        "authorized_official_telephone_number": "251-610-9614",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "GA1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpharetta Back and Neck Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alpharetta Back & Neck Center
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• Alpharetta Children'S Dentistry (Alpharetta Children's Dentistry & Orthodontics)
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• Alpharetta Dental Associates II PC (Alpharetta Dental Associates)
• Alpharetta Endodontics PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.