NGUYEN CHIROPRACTIC LLC (NPI# 1730425786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730425786 |
| Entity Type | Organization |
| Organization Name | NGUYEN CHIROPRACTIC LLC |
| Other Organization Name | THE ROESKE CLINIC |
| Practice Address |
757 Concord Rd Se Smyrna GA 30082-2625 |
| Practice Telephone | 7704350200 |
| Practice Fax Number | 7704354362 |
| Mailing Telephone | 7704350200 |
| Mailing Fax Number | 7704354362 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-20 |
| Authorized Official Name | DR. MY NGUYEN (DOCTOR) |
| Authorized Official Telephone | 7704350200 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008783 | GA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| The Roeske Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312886 | Nguyen Chiropractic LLC | Chiropractor | 3615 Sw Hall Blvd, Beaverton, OR 97005-2053 | 2020-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NGUYEN CHIROPRACTIC LLC | 3615 Sw Hall Blvd, Beaverton, OR 97005 |
| Street Address |
757 CONCORD RD SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619059649 | Gail Callard Roeske | Chiropractor | 757 Concord Rd Se, Smyrna, GA 30082-2626 | 2006-10-19 |
| 1417249673 | My Q Nguyen | Chiropractor | 757 Concord Rd Se, Smyrna, GA 30082-2625 | 2011-05-06 |
| 1720200116 | The Roeske Clinic, PC | Chiropractor | 757 Concord Rd Se, Smyrna, GA 30082-2626 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| 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 |
|---|---|---|---|---|
| 1437761285 | Jennifer Bledsoe | Chiropractor | 4949 Oakdale Rd Se, Smyrna, GA 30080-7118 | 2020-08-21 |
| 1598397499 | Kristian Rainge-campbell | Chiropractor | 2463 Post Village Dr Se, Smyrna, GA 30080-2306 | 2020-02-07 |
| 1104456243 | Hayley Grace Pennell | Chiropractor | 2121 Lake Park Dr Se Apt G, Smyrna, GA 30080-8951 | 2020-01-16 |
| 1760032650 | Carmi Verano | Chiropractor | 577 Concord Rd Se Ste B, Smyrna, GA 30082-2613 | 2019-09-12 |
| 1588141204 | Elevating Health Enterprises Ltd Co | Chiropractor | 4949 Oakdale Rd Se Apt 813, Smyrna, GA 30080-7173 | 2018-07-25 |
| 1033608088 | Jessica Ann Nelson | Chiropractor | 1947 Kenwood Pl Se, Smyrna, GA 30082-5144 | 2018-05-05 |
| 1518455450 | Building Back Essentials (bbe) Chiropractic and Wellness | Chiropractor | 1600 Roswell St Se Ste 11, Smyrna, GA 30080-2227 | 2018-04-26 |
| 1780188920 | Kevin Wayne Kersee Jr. | Chiropractor | 1116 Woodlands Dr Se, Smyrna, GA 30080-2452 | 2018-03-21 |
| 1629487335 | Tennessee Chiropractic Alliance, Pllc | Chiropractor | 875 Seven Oaks Blvd, Suite 430, Smyrna, TN 37167-6223 | 2014-08-06 |
| 1861815169 | Derrick Lamonye Dawson Jr. | Chiropractor | 4571 Valley Pkwy Se Apt J, Smyrna, GA 30082-4942 | 2014-01-23 |
| Find all providers in SMYRNA | ||||
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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.