Steven Wallin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009707 Issued in GA

Practice address

1705 Mount Vernon Rd
Ste a
Dunwoody, GA 30338-4261

Phone

(770) 391-2771

Fax

(770) 391-2772

NPI assigned

Nov 19, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back 2 Back Chiropractic Canton LLC

  • Chiropractor
  • Canton, GA
  • NPI 1871389650
  NPD Authorized official

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1831563469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 MOUNT VERNON RD",
            "address_2": "STE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384261",
            "telephone_number": "770-391-2771",
            "fax_number": "770-391-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MOUNT VERNON RD",
            "address_2": "STE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384261",
            "telephone_number": "770-391-2771",
            "fax_number": "770-391-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-19",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010231",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831563469",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• Quasia Walker
• Lexis L Wallace
• Jason Wang
• Lindsey Warnock
• William Tyler Warnock
• Steven W Waronker, MD
• Rachel Samantha Warsett, MS, LPC, NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.