NPIMap

Organization Active NPI

Mobile Joints, LLC

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1851661318
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007030 Issued in GA
Legal business name
MOBILE JOINTS, LLC
Practice address
4153 River Mill Dr
Duluth, GA 30097-2125
Phone
(404) 939-0375
Fax
(187) 749-6614
NPI assigned
Dec 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Dr. Kelley Kawamoto, DC
Title
Chiropractor
Phone
(404) 939-0375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIR007030 GA Primary

Addresses

Primary practice location

4153 River Mill Dr
Duluth, GA 30097-2125

Mailing address

PO Box 1084
Duluth, GA 30096-0020
Phone (404) 939-0375

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1851661318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960020",
            "telephone_number": "404-939-0375",
            "fax_number": "187-749-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 RIVER MILL DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972125",
            "telephone_number": "404-939-0375",
            "fax_number": "187-749-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE JOINTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "KAWAMOTO",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "404-939-0375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.