Organization Active NPI

Eveningred Chiropractic and Wellness Center, LLC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1801125315
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8435 Issued in GA
Legal business name
EVENINGRED CHIROPRACTIC AND WELLNESS CENTER, LLC
Practice address
4343 Shallowford Rd
Suite G3
Marietta, GA 30062-5023
Phone
(770) 998-7588
Fax
(770) 998-7589
NPI assigned
Dec 11, 2009
Last updated
Dec 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Dr. Steven Paul Eveningred, D.C, BBANPI 1184864522
Title
Owner
Phone
(770) 265-0062

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
Chiropractor 111N00000X 8435 GA Primary

Addresses

Primary practice location

4343 Shallowford Rd
Suite G3
Marietta, GA 30062-5023

Mailing address

4343 Shallowford Rd
Suite G3
Marietta, GA 30062-5023
Phone (770) 998-7588

National Provider Directory

National Provider Directory

Locations

3855 Shallowford Rd
Ste 510
Marietta, GA 30062
Phone (770) 993-6010

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": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1801125315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD",
            "address_2": "SUITE G3",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625023",
            "telephone_number": "770-998-7588",
            "fax_number": "770-998-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD",
            "address_2": "SUITE G3",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625023",
            "telephone_number": "770-998-7588",
            "fax_number": "770-998-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENINGRED CHIROPRACTIC AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "EVENINGRED",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-265-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C, BBA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "8435",
            "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 Dec 11, 2009; 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.