KJ Headlee Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009542 Issued in GA

Legal business name

KJ HEADLEE CHIROPRACTIC LLC

Doing business as

Revolution Chiropractic

Practice address

20 Whitlock PL SW
Suite 100
Marietta, GA 30064-3175

Phone

(678) 956-1598

NPI assigned

Mar 16, 2016

Last updated

Mar 16, 2016By 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

Dr. Kristopher James Headlee, D.C.

Title

Partner/Co-Owner

Phone

(678) 956-1598

Specialties & licenses 1

Addresses

Other names 1

• Revolution Chiropractic Doing business as

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.

• Brittany Priest, DC

  • Chiropractor
  • Marietta, GA
  • NPI 1629890090
  NPD
• Tarah Black, INHC

  • Health & Wellness Coach
  • Meridian, ID
  • NPI 1437948775
  NPD

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1871954032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 CEDAR CREEK CT SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676648",
            "telephone_number": "678-956-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WHITLOCK PL SW",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643175",
            "telephone_number": "678-956-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJ HEADLEE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "HEADLEE",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PARTNER/CO-OWNER",
        "authorized_official_telephone_number": "678-956-1598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revolution Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucy Kirumba
• Haika Gloria Kisamo
• Melissa Lamb Kiser, NP
• Megan Michelle Kistler, PA
• Harriet Kisuve, NP
• Carmen Manuela Klass, MD, PHD
• William B. Klausmeyer, D.D.S.
• Kleiman-Balasabas Psychological Associates
• Lindsay Danielle Kleiman, PSY.D.
• Emily Meyer Klein, LCSW

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

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