Omar David Nieves

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009929 Issued in GA

Practice address

1301 Shiloh Rd NW Ste 811
Kennesaw, GA 30144-7156

Phone

(770) 940-2255

NPI assigned

Nov 8, 2017

Last updated

Nov 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River Tree Chiropractic, LLC

  • Chiropractor
  • Kennesaw, GA
  • NPI 1295201960
  NPD Authorized official

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1871006270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BROOKHAVEN CT",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022189",
            "telephone_number": "770-940-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 811",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447156",
            "telephone_number": "770-940-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "OMAR",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Gia-Boi Nghiem, FNP
• Linda Nguyen
• Ebony Niblack
• Anne Nichols, NURSE PRACTITIONER
• Kim Richard Nicola, M.D.
• Brittany Raegan Nix, PT, DPT
• Gregory Edward Niznik
• Brandie Kinney Noble, MSPT
• Jalisa Noble
• Haniyfa Rebekah Noel, SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.