WESTSIDE CHIROPRACTIC CENTER (NPI# 1245659481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245659481 |
| Entity Type | Organization |
| Organization Name | WESTSIDE CHIROPRACTIC CENTER |
| Practice Address |
1017 Us Highway 80 E Ste 17 Pooler GA 31322-9533 |
| Practice Telephone | 9127489125 |
| Practice Fax Number | 9128260352 |
| Mailing Telephone | 9127489125 |
| Mailing Fax Number | 9128260352 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-05-28 |
| Authorized Official Name | DR. WAYNE C DE PAZ (PRESIDENT) |
| Authorized Official Telephone | 9127489125 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2643 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770955635 | Westside Chiropractic Center | Massage Therapist | 3808 Tieton Dr, Yakima, WA 98902-3691 | 2015-10-30 |
| Street Address |
1017 US HIGHWAY 80 E STE 17 |
| City | POOLER |
| State | GA |
| Zip Code | 31322-9533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447718036 | Zellweger Family Chiropractic | Chiropractor | 1017 Us Highway 80 E Ste 17, Pooler, GA 31322-9533 | 2019-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231902 | Austin Fortner | Chiropractor | 485 Pooler Pkwy, Pooler, GA 31322-5102 | 2020-10-06 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1851717029 | Thomas Bombery | Chiropractor | 122 Canal St, Ste 109, Pooler, GA 31322-4015 | 2014-03-12 |
| 1013332485 | David L Sanders | Chiropractor | 138 Canal St Ste 205, Pooler, GA 31322-4046 | 2014-02-21 |
| 1285911917 | Christopher Frank Barnes | Chiropractor | 130 Canal St Ste 603, Pooler, GA 31322-4087 | 2011-11-09 |
| 1891853768 | Wayne Carey Depaz | Chiropractor | 1017 E Hwy 80, Suite 17, Pooler, GA 31322 | 2006-12-04 |
| 1932276151 | Stephen Aage Ranicki | Chiropractor | 1147 Us Highway 80 W, Pooler, GA 31322-2115 | 2006-11-30 |
| 1598870461 | Brandon Michael Linker | Chiropractor | 118 Pipemakers Cir Ste 105, Pooler, GA 31322-4164 | 2006-08-20 |
| 1497725246 | Preston Lloyd Peacock | Chiropractor | 408 Us Highway 80 Sw, Pooler, GA 31322-2541 | 2006-01-25 |
| 1447718036 | Zellweger Family Chiropractic | Chiropractor | 1017 Us Highway 80 E Ste 17, Pooler, GA 31322-9533 | 2019-03-04 |
| Find all providers in POOLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.