Body Core Neuropathy & Spine Group

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR008654 Issued in GA

Legal business name

BODY CORE NEUROPATHY & SPINE GROUP

Practice address

3855 Shallowford Rd
Suite 510
Marietta, GA 30062-4195

Phone

(770) 993-6010

Fax

(770) 993-6011

NPI assigned

Apr 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Alicia A Crusse, D.C.NPI 1609193598

Title

Owner

Phone

(770) 993-6010

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Alicia Ann Crusse, D.C.

  • Chiropractor
  • Marietta, GA
  • NPI 1609193598
  NPD Authorized official
• Steven P Eveningred, D.C.

  • Chiropractor
  • Marietta, GA
  • NPI 1184864522
  NPD (past)

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1992048136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD",
            "address_2": "SUITE 510",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624195",
            "telephone_number": "770-993-6010",
            "fax_number": "770-993-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD",
            "address_2": "SUITE 510",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624195",
            "telephone_number": "770-993-6010",
            "fax_number": "770-993-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY CORE NEUROPATHY & SPINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "CRUSSE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-993-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR008654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonicqua Bobb
• Sarah A Bochar, MD
• Dana Bocinsky, PA-C
• Liliya Bock, DMD
• Annmarie Kathleen Bodnia
• Body Elements Corp
• Body Pros Physical Therapy
• Body Pros Physical Therapy
• Body Works Chiropractic and Wellness Center, LLC
• Boella Enterprises,LLC

• Rehabilitation Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.