Active NPI
Naeema Olatunji
- Chiropractor
- Roswell, GA
National Provider Identifier
1790203610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO09523
- Practice address
- 580 E Crossville Rd Ste 340
Roswell, GA 30075-5852 - Phone
- (818) 430-8214
- Fax
- (888) 505-3765
- NPI assigned
- Aug 30, 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 | CHIRO09523 | GA | Primary |
Addresses
Primary practice location
580 E Crossville Rd Ste 340
Roswell, GA 30075-5852
Mailing address
570 E Crossville Rd Ste 340
Roswell, GA 30075-3034
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO09523 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1790203610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 E CROSSVILLE RD STE 340",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753034",
"fax_number": "888-505-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 E CROSSVILLE RD STE 340",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300755852",
"telephone_number": "818-430-8214",
"fax_number": "888-505-3765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLATUNJI",
"first_name": "NAEEMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO09523",
"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 Aug 30, 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.