Organization Active NPI

Line Chiropractic Inc

Doing business as Dr. Park Chiropractic

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1750652251
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006771 Issued in GA
Legal business name
LINE CHIROPRACTIC INC
Doing business as
Dr. Park Chiropractic
Practice address
2550 Pleasant Hill Rd
Suite 124
Duluth, GA 30096-4122
Phone
(770) 814-7400
Fax
(770) 814-7442
NPI assigned
Jan 16, 2012
Last updated
Jan 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Authorized official

Name
Mrs. Seong Park
Title
Manager
Phone
(770) 814-7416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008420 GA
Chiropractor 111N00000X CHIR006771 GA Primary

Addresses

Primary practice location

2550 Pleasant Hill Rd
Suite 124
Duluth, GA 30096-4122

Mailing address

2550 Pleasant Hill Rd
Suite 124
Duluth, GA 30096-4122
Phone (770) 814-7400

Other names 1

  • Dr. Park Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2550 Pleasant Hill Rd
Ste 124
Duluth, GA 30096
Phone (770) 814-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1750652251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD",
            "address_2": "SUITE 124",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964122",
            "telephone_number": "770-814-7400",
            "fax_number": "770-814-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD",
            "address_2": "SUITE 124",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964122",
            "telephone_number": "770-814-7400",
            "fax_number": "770-814-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SEONG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-814-7416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008420",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Park Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.