Organization Active NPI

Smryna Advanced Chiropractic Center

  • Chiropractor
  • Smyrna, GA
National Provider Identifier
1972941888
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SMRYNA ADVANCED CHIROPRACTIC CENTER
Practice address
545 Concord Rd SE
Smyrna, GA 30082-2609
Phone
(770) 432-9290
Fax
(770) 319-6377
NPI assigned
Jun 13, 2013
Last updated
Jun 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dr. Joel Louis Desaulniers, DCNPI 1033285481
Title
Owner
Phone
(770) 432-9290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

545 Concord Rd SE
Smyrna, GA 30082-2609

Mailing address

545 Concord Rd SE
Smyrna, GA 30082-2609
Phone (770) 432-9290

National Provider Directory

National Provider Directory
Tax ID family
Smryna Advanced Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1972941888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822609",
            "telephone_number": "770-432-9290",
            "fax_number": "770-319-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822609",
            "telephone_number": "770-432-9290",
            "fax_number": "770-319-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMRYNA ADVANCED CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "DESAULNIERS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-432-9290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.