Michelle Klos D.C. Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CHIROO8486 Issued in GA

Legal business name

MICHELLE KLOS D.C. INC.

Doing business as

Southside Spinal Center

Practice address

386 Racetrack Rd
McDonough, GA 30252-1022

Phone

(678) 583-2982

Fax

(678) 583-2984

NPI assigned

Oct 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Elizabeth Monasterski-Klos, D.C.

Title

Chiropractor/Owner

Phone

(678) 583-2982

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southside Spinal Center Doing business as

Locations

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283731200000",
    "number": "1760717573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 PEBBLE RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148867",
            "telephone_number": "678-697-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 RACETRACK RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521022",
            "telephone_number": "678-583-2982",
            "fax_number": "678-583-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE KLOS D.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2010-09-06",
        "status": "A",
        "authorized_official_last_name": "MONASTERSKI-KLOS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "678-583-2982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIROO8486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OFFICE #",
            "identifier": "202G35640",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside Spinal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Health Management
• Metnurse Health Services, Inc. (MHS)
• MH Wellness Collective LLC
• Mib Staffing, LLC
• Michael R. Johnston, D.C., P.C.
• Dionne Gibson Middlebrooks, PT, DPT
• Cocquese Mikell, NURSE/LPN
• Milann Health Care Services Inc
• Andrea R Miles, M.D.
• Jerrica Miles, PA-C

• Clinic/Center in McDonough, GA
• Providers in McDonough, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2010; 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.