Organization Active NPI

Team Chiropractic P.C.

  • Chiropractor
  • Dallas, GA
National Provider Identifier
1801028287
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007609 Issued in GA
Legal business name
TEAM CHIROPRACTIC P.C.
Practice address
10175 Dallas Acworth Hwy
Suite 119
Dallas, GA 30132-9300
Phone
(678) 402-1091
NPI assigned
Aug 18, 2009
Last updated
Jun 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Dr. Robert Vincent Dimartino, D.C.
Title
Owner
Phone
(678) 402-1091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 007600 GA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 007609 GA Primary

Addresses

Primary practice location

10175 Dallas Acworth Hwy
Suite 119
Dallas, GA 30132-9300

Mailing address

10175 Dallas Acworth Hwy
Suite 119
Dallas, GA 30132-9300
Phone (678) 402-1091

National Provider Directory

National Provider Directory

Locations

10175 Dallas Acworth Hwy
Ste 119
Dallas, GA 30132
Phone (678) 402-1091

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1801028287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 DALLAS ACWORTH HWY",
            "address_2": "SUITE 119",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329300",
            "telephone_number": "678-402-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 DALLAS ACWORTH HWY",
            "address_2": "SUITE 119",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329300",
            "telephone_number": "678-402-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "DIMARTINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-402-1091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007600",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.