Phoenix Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009584 Issued in GA

Legal business name

PHOENIX CHIROPRACTIC INC

Practice address

6050 Peachtree Pkwy
Suite 420
Peachtree Corners, GA 30092-3336

Phone

(770) 744-5810

NPI assigned

Jun 6, 2016

Last updated

Jun 6, 2016By 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. Ryan Smith, DCNPI 1124477674

Title

Owner

Phone

(770) 744-5810

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.

• Ryan Smith, DC

  • Chiropractor
  • Peachtree Corners, GA
  • NPI 1124477674
  Authorized official Same address or phone

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1841649399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 PEACHTREE PKWY",
            "address_2": "SUITE 420",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923336",
            "telephone_number": "770-744-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 PEACHTREE PKWY",
            "address_2": "SUITE 420",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923336",
            "telephone_number": "770-744-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-744-5810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.