Organization Active NPI

Explore Health & Wellness

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1750059614
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EXPLORE HEALTH & WELLNESS
Practice address
4880 Lower Roswell Rd Ste 20
Marietta, GA 30068-4385
Phone
(470) 381-1787
NPI assigned
Sep 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Dr. Daniel RuitenbeekNPI 1346704491
Title
Owner
Phone
(404) 901-2908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

4880 Lower Roswell Rd Ste 20
Marietta, GA 30068-4385

Mailing address

4880 Lower Roswell Rd Ste 20
Marietta, GA 30068-4385
Phone (470) 381-1787

Other identifiers 1

IdentifierTypeStateIssuer
1346704491OtherGANPPES PERSONAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@goexplorehealth.com

National Provider Directory

National Provider Directory

Locations

4880 Lower Roswell Rd
Ste 20
Marietta, GA 30068
Phone (470) 381-1787

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1750059614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 LOWER ROSWELL RD STE 20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684385",
            "telephone_number": "470-381-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 LOWER ROSWELL RD STE 20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684385",
            "telephone_number": "470-381-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPLORE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "RUITENBEEK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-901-2908",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES PERSONAL NPI",
            "identifier": "1346704491",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@goexplorehealth.com",
            "affiliation": "N",
            "address_1": "4880 Lower Roswell Rd Ste 20",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300684385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Sep 3, 2021; 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.