NPIMap

Organization Active NPI

100 Percent Chiropractic Atlanta Seven LLC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1932584083
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009463 Issued in GA
Legal business name
100 PERCENT CHIROPRACTIC ATLANTA SEVEN LLC
Practice address
125 Barrett Pkwy
Marietta, GA 30066-3331
Phone
(678) 324-1016
Fax
(678) 401-7647
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Dr. Nico Staples, D.C.NPI 1649650615
Title
Owner
Phone
(678) 324-1016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009463 GA Primary

Addresses

Primary practice location

125 Barrett Pkwy
Marietta, GA 30066-3331

Mailing address

125 Barrett Pkwy
Marietta, GA 30066-3331
Phone (678) 324-1016

National Provider Directory

National Provider Directory

Locations

125 Ernest Barrett Pkwy
Marietta, GA 30066
Phone (678) 324-1016

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1932584083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BARRETT PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663331",
            "telephone_number": "678-324-1016",
            "fax_number": "678-401-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BARRETT PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663331",
            "telephone_number": "678-324-1016",
            "fax_number": "678-401-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 PERCENT CHIROPRACTIC ATLANTA SEVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "NICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-324-1016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009463",
            "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 Jun 14, 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.