NPIMap

Individual provider Active NPI

Patrick Jacob Oster, D. C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1891859898
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR002055 Issued in GA
Practice address
1459 Cobb Pkwy N
Marietta, GA 30062-2425
Phone
(770) 919-9625
Fax
(770) 919-8154
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR002055 GA Primary

Addresses

Primary practice location

1459 Cobb Pkwy N
Marietta, GA 30062-2425

Mailing address

1459 Cobb Pkwy N
Marietta, GA 30062-2425
Phone (770) 919-9625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR002055GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kennesaw Health and Wellness Chiropractor Past Accepting new patients
Chiropractic Total Health Center, LLC Chiropractor Past Accepting new patients
Fairview Chiropractic Center, LLC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891859898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 COBB PKWY N",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622425",
            "telephone_number": "770-919-9625",
            "fax_number": "770-919-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 COBB PKWY N",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622425",
            "telephone_number": "770-919-9625",
            "fax_number": "770-919-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTER",
        "first_name": "PATRICK",
        "middle_name": "JACOB",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002055",
            "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 Jul 8, 2007; 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.