Organization Active NPI

KLS Chiropractic PC

  • Chiropractor
  • Gainesville, GA
National Provider Identifier
1992997944
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007806 Issued in GA
Legal business name
KLS CHIROPRACTIC PC
Practice address
307 Green St NW
Gainesville, GA 30501-3327
Phone
(770) 532-0488
Fax
(770) 532-2906
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Dr. Lisa Dianne Richter, DCNPI 1427106806
Title
President/Owner
Phone
(770) 532-0488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR007806 GA Primary

Addresses

Primary practice location

307 Green St NW
Gainesville, GA 30501-3327

Mailing address

307 Green St NW
Gainesville, GA 30501-3327
Phone (770) 532-0488

National Provider Directory

National Provider Directory

Locations

307 Green St NW
Gainesville, GA 30501
Phone (770) 532-0488

821 Dawsonville Hwy
Ste 220
Gainesville, GA 30501
Phone (770) 532-0488

Practitioners & affiliated clinicians

Practitioners 2

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1992997944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GREEN ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013327",
            "telephone_number": "770-532-0488",
            "fax_number": "770-532-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GREEN ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013327",
            "telephone_number": "770-532-0488",
            "fax_number": "770-532-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "770-532-0488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.