Organization Active NPI

West Cobb Health Adn Rehab Center

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1790005403
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007533 Issued in GA
Legal business name
WEST COBB HEALTH ADN REHAB CENTER
Practice address
3901 Mary Eliza Trce NW
Suite 202
Marietta, GA 30064-1094
Phone
(770) 485-3255
Fax
(770) 693-7804
NPI assigned
Jun 3, 2010
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Christopher Joseph Campagna, D.C.
Title
Ceo
Phone
(678) 699-3238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR007533 GA Primary

Addresses

Primary practice location

3901 Mary Eliza Trce NW
Suite 202
Marietta, GA 30064-1094

Mailing address

3901 Mary Eliza Trce NW
Suite 202
Marietta, GA 30064-1094
Phone (770) 485-3255

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1790005403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MARY ELIZA TRCE NW",
            "address_2": "SUITE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641094",
            "telephone_number": "770-485-3255",
            "fax_number": "770-693-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MARY ELIZA TRCE NW",
            "address_2": "SUITE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641094",
            "telephone_number": "770-485-3255",
            "fax_number": "770-693-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COBB HEALTH ADN REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "CAMPAGNA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-699-3238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007533",
            "primary": true
        }
    ],
    "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 Jun 3, 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.