East-West Spine and Rehab Clinic Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

CHIR008391 Issued in GA

Legal business name

EAST-WEST SPINE AND REHAB CLINIC INC.

Practice address

1385 Highlands Ridge Rd SE
Suite C
Smyrna, GA 30082-4893

Phone

(770) 432-5600

Fax

(770) 432-5602

NPI assigned

Nov 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ararat Mushegan Leguizamon, D.C.NPI 1568602910

Title

Ceo/President

Phone

(770) 656-0203

Specialties & licenses 1

Addresses

Other names 1

• ProAdjuster Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ararat M Leguizamon, D.C.

  • Chiropractor
  • Smyrna, GA
  • NPI 1568602910
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1821242785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 HIGHLANDS RIDGE RD SE STE C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824894",
            "telephone_number": "770-432-5600",
            "fax_number": "770-432-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 HIGHLANDS RIDGE RD SE",
            "address_2": "SUITE C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824893",
            "telephone_number": "770-432-5600",
            "fax_number": "770-432-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST-WEST SPINE AND REHAB CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "LEGUIZAMON",
        "authorized_official_first_name": "ARARAT",
        "authorized_official_middle_name": "MUSHEGAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "770-656-0203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "CHIR008391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProAdjuster Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.