Chiropractic Specialties Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO7309 Issued in GA

Legal business name

CHIROPRACTIC SPECIALTIES INC

Practice address

2450 Atlanta Hwy
Ste 1601
Cumming, GA 30040

Phone

(678) 513-0095

Fax

(678) 513-0706

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Aviv Fogel, DCNPI 1528112521

Title

Dr Owner

Phone

(678) 513-0095

Specialties & licenses 1

Addresses

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.

• Kyle Aviv Fogel, DC

  • Chiropractor
  • Cumming, GA
  • NPI 1528112521
  Medicare reassignment NPD Authorized official
• Angela Michelle Daugherty Fogel, DC

  • Chiropractor
  • Cumming, GA
  • NPI 1063566024
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891831467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY",
            "address_2": "STE 1601",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-513-0095",
            "fax_number": "678-513-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY",
            "address_2": "STE 1601",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-513-0095",
            "fax_number": "678-513-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPECIALTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "AVIV",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "678-513-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO7309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children and Teen Dental Group
• Childrens Dentistry of Cumming
• William Childs, D.O.
• Emily Chin
• Angie Chini
• Sarah Chism
• Holly Kathryne Chitwood, RPH
• CHMG of Atlanta, LLC
• Angelina Cho, PHARMD
• Jean Yeahyun Choe

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.