100 Chiro Branch LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIRO BRANCH LLC

Practice address

100 Blue Moon Xing Ste 103
Pooler, GA 31322-9809

Phone

(470) 957-1744

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By 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

Tiana BranchNPI 1023786571

Title

Owner/Provider

Phone

(470) 957-1744

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tiana Branch, DC

  • Chiropractor
  • Pooler, GA
  • NPI 1023786571
  NPD Authorized official

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1902590854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLUE MOON XING STE 103",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229809",
            "telephone_number": "470-957-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BLUE MOON XING STE 103",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229809",
            "telephone_number": "470-957-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO BRANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "470-957-1744"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.