Organization Active NPI

Bandalo Chiropractic PLLC

  • Chiropractor
  • Nolensville, TN
National Provider Identifier
1922444074
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2652 Issued in TN
Legal business name
BANDALO CHIROPRACTIC PLLC
Practice address
7149 Nolensville Rd
Nolensville, TN 37135-9461
Phone
(404) 683-4007
NPI assigned
May 16, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Miro Bandalo, D.C.
Title
Owner
Phone
(404) 683-4007

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

7149 Nolensville Rd
Nolensville, TN 37135
Phone (615) 819-0587

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2652 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

7149 Nolensville Rd
Nolensville, TN 37135-9461

Mailing address

7149 Nolensville Rd
Nolensville, TN 37135-9461
Phone (404) 683-4007

Other names 1

NPPES NPI Registry
  • Art of Life Chiropractic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2013.

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1922444074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7149 NOLENSVILLE RD",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371359461",
            "telephone_number": "404-683-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7149 NOLENSVILLE RD",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371359461",
            "telephone_number": "404-683-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDALO CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "BANDALO",
        "authorized_official_first_name": "MIRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-683-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Art of Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nolensville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.