Organization Active NPI

Pillar Chiropractic, LLC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1851833255
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009791 Issued in GA
Legal business name
PILLAR CHIROPRACTIC, LLC
Practice address
3901 Mary Eliza Trce NW
Suite 201
Marietta, GA 30064-1094
Phone
(770) 765-3640
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Dr. Shannon Martin, D.C.
Title
Owner/Ceo
Phone
(770) 765-3640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIR009791 GA Primary

Addresses

Primary practice location

3901 Mary Eliza Trce NW
Suite 201
Marietta, GA 30064-1094

Mailing address

3901 Mary Eliza Trce NW
Suite 201
Marietta, GA 30064-1094
Phone (770) 765-3640

National Provider Directory

National Provider Directory

Locations

3901 Mary Eliza Trce NW
Ste 201
Marietta, GA 30064
Phone (770) 422-5052

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1851833255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MARY ELIZA TRCE NW",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641094",
            "telephone_number": "770-765-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MARY ELIZA TRCE NW",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641094",
            "telephone_number": "770-765-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLAR CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-765-3640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.