Organization Active NPI

Can Am PC

  • Chiropractor
  • Alpharetta, GA
National Provider Identifier
1780141002
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAN AM PC
Practice address
401 S Main St Ste A5
Alpharetta, GA 30009-1957
Phone
(678) 404-8944
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Andrew Wiese, DCNPI 1396183828
Title
Owner
Phone
(770) 317-0057

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

401 S Main St Ste A5
Alpharetta, GA 30009-1957

Mailing address

401 S Main St Ste A5
Alpharetta, GA 30009-1957
Phone (678) 404-8944

Other names 1

  • South Main Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190503000215 GA Part B Supplier - Clinic/Group Practice 9133461650 Receives reassigned benefits from 1 practitioner
Practice locations: Milton, GA

National Provider Directory

National Provider Directory

Locations

401 S Main St
Ste A5
Alpharetta, GA 30009
Phone (678) 404-8944

850 Mayfield Rd
Ste 101D
Milton, GA 30009
Phone (770) 751-9224

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1780141002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST STE A5",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091957",
            "telephone_number": "678-404-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST STE A5",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091957",
            "telephone_number": "678-404-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAN AM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-317-0057",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Main Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.