Organization Active NPI

Michael S Rappaport PC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1790968584
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIROPRACTOR Issued in GA
Legal business name
MICHAEL S RAPPAPORT PC
Practice address
590 Cobb Pkwy S
Marietta, GA 30060-6517
Phone
(770) 427-0044
Fax
(770) 428-9695
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Michael S Rappaport, D.C.
Title
President
Phone
(770) 427-0044

Specialties & licenses 1

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

Addresses

Primary practice location

590 Cobb Pkwy S
Marietta, GA 30060-6517

Mailing address

590 Cobb Pkwy S
Marietta, GA 30060-6517
Phone (770) 427-0044

Other identifiers 2

IdentifierTypeStateIssuer
CHIR001559OtherGASTATE LICENSE
GRP6939OtherGAMEDICARE GROUP #

Other names 1

  • A Family Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1790968584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 COBB PKWY S",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606517",
            "telephone_number": "770-427-0044",
            "fax_number": "770-428-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COBB PKWY S",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606517",
            "telephone_number": "770-427-0044",
            "fax_number": "770-428-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S RAPPAPORT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-427-0044",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIROPRACTOR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CHIR001559",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "GRP6939",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 14, 2008; 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.