Kent D Vanderslice DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006287 Issued in GA

Legal business name

KENT D VANDERSLICE DC PC

Practice address

1135 S Marietta Pkwy SE
Marietta, GA 30060-2811

Phone

(770) 422-1059

Fax

(770) 422-4626

NPI assigned

Mar 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kent D Vanderslice, DC

Title

Owner

Phone

(404) 713-8883

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1730453176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 REGINA CIR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S MARIETTA PKWY SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602811",
            "telephone_number": "770-422-1059",
            "fax_number": "770-422-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT D VANDERSLICE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "VANDERSLICE",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-713-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kennstar LLC
• Patricia Kerigan, LPC
• Susan Elizabeth Kerley, MS, LAPC
• Kerry Kerns, LMSW
• Joanna Heden Kerr, CPNP
• Kyla Kerr

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.