Organization Active NPI

Holistic Chiropractic of Georgia, LLC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1730402231
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO09493 Issued in GA
Legal business name
HOLISTIC CHIROPRACTIC OF GEORGIA, LLC
Practice address
1187 Broward Dr NE
Marietta, GA 30066-5549
Phone
(770) 702-1667
Fax
(919) 794-5494
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Dr. Manon Fielding, DC
Title
Member Manager
Phone
(770) 702-1667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIRO09493 GA Primary

Addresses

Primary practice location

1187 Broward Dr NE
Marietta, GA 30066-5549

Mailing address

1187 Broward Dr NE
Marietta, GA 30066-5549
Phone (770) 702-1667

Other names 1

  • Holistic Chiropractic PLLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1730402231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 BROWARD DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665549",
            "telephone_number": "770-702-1667",
            "fax_number": "919-794-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 BROWARD DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665549",
            "telephone_number": "770-702-1667",
            "fax_number": "919-794-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC CHIROPRACTIC OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "MANON",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "770-702-1667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO09493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Chiropractic PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.