Hybrid Spine and Sport

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HYBRID SPINE AND SPORT

Practice address

11050 Crabapple Rd Ste 110C
Roswell, GA 30075-2476

Phone

(678) 315-4632

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Peter Alexander, DCNPI 1609502558

Title

Owner

Phone

(678) 315-4632

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Peter Alexander, DC

  • Chiropractor
  • Roswell, GA
  • NPI 1609502558
  NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1801511084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 CRABAPPLE RD STE 110C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752476",
            "telephone_number": "678-315-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 CRABAPPLE RD STE 110C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752476",
            "telephone_number": "678-315-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYBRID SPINE AND SPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-315-4632",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hybridspineandsport.janeapp.com",
            "affiliation": "N",
            "address_1": "11050 Crabapple Rd Ste 110C",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300752476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Parisa Ighani, RN
• Peace Ikpechukwu, NP
• America Anderson Ilenda, L.P.C.

• Chiropractor in Roswell, GA
• Providers in Roswell, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.