Precision Spine & Body Restoration

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

PRECISION SPINE & BODY RESTORATION

Practice address

2500 Old Alabama Rd Ste 20
Roswell, GA 30076-2400

Phone

(770) 587-2663

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. David Andrew Bak, DCNPI 1861838690

Title

Owner/ Head Clinic Director

Phone

(770) 587-2663

Specialties & licenses 1

Addresses

Other names 1

• Hovey Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• David Andrew Bak, D.C.

  • Rehabilitation Chiropractor
  • Cumming, GA
  • NPI 1861838690
  Medicare reassignment NPD Authorized official
• James S Hovey, D.C.

  • Chiropractor
  • Roswell, GA
  • NPI 1487672408
  NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1841897196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 OLD ALABAMA RD STE 20",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762400",
            "telephone_number": "770-587-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 OLD ALABAMA RD STE 20",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762400",
            "telephone_number": "770-587-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SPINE & BODY RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/ HEAD CLINIC DIRECTOR",
        "authorized_official_telephone_number": "770-587-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hovey Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John Anthony Prendes, D.C.
• Jacquelyn Pressley
• Jaylan Price-Johnson, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.