Active NPI
Kevin Astor
- Chiropractor
- Woodstock, GA
National Provider Identifier
1972344240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR011184
- Practice address
- 2990 Eagle Dr Ste 102
Woodstock, GA 30189-5575 - Phone
- (676) 919-7788
- NPI assigned
- Jun 3, 2024
- Last updated
- Jun 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR011184 | GA | Primary |
Addresses
Primary practice location
2990 Eagle Dr Ste 102
Woodstock, GA 30189-5575
Mailing address
2990 Eagle Dr Ste 102
Woodstock, GA 30189-5575
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR011184 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 100 Percent Chiropractic Maassen LLC | Chiropractor | Current | Accepting new patients |
Locations
2990 Eagle Dr
Ste 102
Woodstock, GA 30189
Phone (678) 919-7788
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba 100 Percent Chiropractic
- Chiropractor
- Woodstock, GA
- NPI 1255998464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1972344240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2990 EAGLE DR STE 102",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 EAGLE DR STE 102",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895575",
"telephone_number": "676-919-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTOR",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR011184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.