Organization Active NPI

Atlanta Center for Pain, Injury & Rehab, LLC

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1972924686
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009067 Issued in GA
Legal business name
ATLANTA CENTER FOR PAIN, INJURY & REHAB, LLC
Practice address
2400 Pleasant Hill Rd Ste 300
Duluth, GA 30096-4398
Phone
(678) 465-7092
Fax
(678) 832-1528
NPI assigned
Dec 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Dr. Rolando Talledo, D.C.
Title
Owner/Chiropractor-Clinic Director
Phone
(678) 465-7092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009067 GA Primary

Addresses

Primary practice location

2400 Pleasant Hill Rd Ste 300
Duluth, GA 30096-4398

Mailing address

2400 Pleasant Hill Rd Ste 300
Duluth, GA 30096-4398
Phone (678) 465-7092

Other names 1

  • ACPIR Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1972924686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PLEASANT HILL RD STE 300",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964398",
            "telephone_number": "678-465-7092",
            "fax_number": "678-832-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PLEASANT HILL RD STE 300",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964398",
            "telephone_number": "678-465-7092",
            "fax_number": "678-832-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CENTER FOR PAIN, INJURY & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "TALLEDO",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR-CLINIC DIRECTOR",
        "authorized_official_telephone_number": "678-465-7092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACPIR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.