Organization Active NPI

Intrinsic Chiropractic

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1770236135
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INTRINSIC CHIROPRACTIC
Practice address
25 Whitlock PL SW Ste 102
Marietta, GA 30064-3142
Phone
(470) 945-5553
NPI assigned
Jan 26, 2022
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Dr. Christopher Dale Anderson, DCNPI 1871246223
Title
Chiropractor
Phone
(770) 504-6161

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X
Radiology ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0200X

Addresses

Primary practice location

25 Whitlock PL SW Ste 102
Marietta, GA 30064-3142

Mailing address

25 Whitlock PL SW Ste 102
Marietta, GA 30064-3142
Phone (470) 945-5553

National Provider Directory

National Provider Directory

Locations

25 Whitlock Pl SW
Ste 102
Marietta, GA 30064
Phone (470) 945-5553

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": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1770236135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WHITLOCK PL SW STE 102",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643142",
            "telephone_number": "470-945-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WHITLOCK PL SW STE 102",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643142",
            "telephone_number": "470-945-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRINSIC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2024-01-08",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-504-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 8, 2024; 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.