Active NPI
Andrea Esau, DC
- Chiropractor
- Roswell, GA
National Provider Identifier
1780111385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009858
- Practice address
- 10886 Crabapple Rd Ste 400-a
Roswell, GA 30075-3026 - Phone
- (770) 630-8057
- NPI assigned
- May 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009858 | GA | Primary |
Addresses
Primary practice location
10886 Crabapple Rd Ste 400-a
Roswell, GA 30075-3026
Mailing address
2761 Terrell Trace Dr
Marietta, GA 30067-3233
Phone (770) 630-8057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009858 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494806400000",
"number": "1780111385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2761 TERRELL TRACE DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300673233",
"telephone_number": "770-630-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10886 CRABAPPLE RD STE 400-A",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753026",
"telephone_number": "770-630-8057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESAU",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-15",
"last_updated": "2017-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.