Beaver Ruin Chiropractic Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BEAVER RUIN CHIROPRACTIC CENTER, INC

Doing business as

Chiropractic Center of Norcross

Practice address

720 Holcomb Bridge Rd
Norcross, GA 30071-1325

Phone

(770) 446-7305

Fax

(770) 263-8710

NPI assigned

Sep 18, 2008

Last updated

Sep 18, 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

Mrs. Tammi M Copelli, R.N.

Title

Corporate Secretary

Phone

(770) 446-7305

Specialties & licenses 1

Addresses

Other names 1

• Chiropractic Center of Norcross 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, and the practitioner matching its NPPES authorized official.

• Thomas Michael Copelli, D.O.

  • Chiropractor
  • Norcross, GA
  • NPI 1528197738
  Medicare reassignment NPD
• Wendy Bermpohl, D.O.

  • Chiropractor
  • Norcross, GA
  • NPI 1285852079
  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1851540447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711325",
            "telephone_number": "770-446-7305",
            "fax_number": "770-263-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711325",
            "telephone_number": "770-446-7305",
            "fax_number": "770-263-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER RUIN CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "COPELLI",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "770-446-7305",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Center of Norcross",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nishma Barron, LMFT
• Amber Barry
• BC Health LLC
• Sarah Beadles, NP-C
• Beautyworks Import Inc (K&a Beauty)
• Ana Ariadne Beck
• Behavioral Health Services of Atlanta, LLC
• Bell DC Investments LLC (Historic Norcross Chiropractic)
• Audrey Bell
• Renato Belouche

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.