Centennial Chiropractic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

GA005452 Issued in GA

Legal business name

CENTENNIAL CHIROPRACTIC

Practice address

4343 Shallowford Rd
Suite B6
Marietta, GA 30062-5023

Phone

(770) 649-1730

Fax

(770) 649-1731

NPI assigned

Mar 25, 2008

Last updated

Mar 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Moribaldi, DCNPI 1699859637

Title

Owner

Phone

(770) 649-1730

Specialties & licenses 1

Addresses

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.

• Michael J Moribaldi, DC

  • Chiropractor
  • Marietta, GA
  • NPI 1699859637
  Authorized official Same address or phone

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1811169378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD",
            "address_2": "SUITE B6",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625023",
            "telephone_number": "770-649-1730",
            "fax_number": "770-649-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD",
            "address_2": "SUITE B6",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625023",
            "telephone_number": "770-649-1730",
            "fax_number": "770-649-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "MORIBALDI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-649-1730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "GA005452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Milliron Cavazuti, M.D.
• Kelly Cave
• Jordan Batson Cawley, CAA
• CBT & Associates, Inc (Marietta Square Chiropractic Clinic)
• Stacey Elizabeth Cecil X
• Center for Attention & Psychiatry, LLC
• Center for Awareness and Evolvement
• Center for Foot & Ankle Care Inc
• Center for Orthopaedic and Sports Medicine
• Center for Preventative Cardiovascular Care PC

• Medical Specialty Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.