Organization Active NPI

Canton Chiropractic and Massage Inc

  • Chiropractor
  • Canton, GA
National Provider Identifier
1992289250
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CANTON CHIROPRACTIC AND MASSAGE INC
Practice address
400 Argonne Ter
Canton, GA 30115-4773
Phone
(678) 880-7024
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Nicole Ciccone
Title
Business Owner
Phone
(954) 790-5564

Specialties & licenses 1

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

Addresses

Primary practice location

400 Argonne Ter
Canton, GA 30115-4773

Mailing address

400 Argonne Ter
Canton, GA 30115-4773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314002112 GA Part B Supplier - Clinic/Group Practice 5496095267 Receives reassigned benefits from 4 practitioners
Practice locations: Canton, GA

National Provider Directory

National Provider Directory

Locations

400 Argonne Ter
Canton, GA 30115
Phone (678) 880-7024

Practitioners & affiliated clinicians

Practitioners 5

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": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1992289250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ARGONNE TER",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ARGONNE TER",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154773",
            "telephone_number": "678-880-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON CHIROPRACTIC AND MASSAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "954-790-5564"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.