Vance Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008402 Issued in GA

Legal business name

VANCE CHIROPRACTIC PC

Practice address

2300 Shallowford Rd Ste 8
Marietta, GA 30066-2075

Phone

(678) 549-4863

NPI assigned

Oct 8, 2015

Organization subpart

No

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

Authorized official

Name

August Vance, DC

Title

Owner

Phone

(678) 549-4863

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• David Arthur Radin, D.C.

  • Chiropractor
  • Marietta, GA
  • NPI 1033285440
  NPD (past)
• Connie Sue Lavoie, D.C.

  • Chiropractor
  • Marble Falls, TX
  • NPI 1922027614
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1750752325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SHALLOWFORD RD STE 8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662075",
            "telephone_number": "678-549-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SHALLOWFORD RD STE 8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662075",
            "telephone_number": "678-549-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-549-4863",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan R Van Sant
• Amanda Van Staden, M.S., CCC-SLP
• Maria Danielle Van Tiflin, D.P.T
• Raymond M Van Tiflin III, DPT
• Robert Jarrod Vanatta, ATC
• August Vance, DC
• Lee Christopher Vandewater, D.M.D.
• John David Vaneaton, MA, APC
• Thomas Vangalder, DDS
• Surya N Vangapandu

• 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 Aug 23, 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.