BEAVER RUIN CHIROPRACTIC CENTER, INC (NPI# 1851540447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851540447 |
| Entity Type | Organization |
| Organization Name | BEAVER RUIN CHIROPRACTIC CENTER, INC |
| Other Organization Name | CHIROPRACTIC CENTER OF NORCROSS |
| Practice Address |
720 Holcomb Bridge Rd Norcross GA 30071-1325 |
| Practice Telephone | 7704467305 |
| Practice Fax Number | 7702638710 |
| Mailing Telephone | 7704467305 |
| Mailing Fax Number | 7702638710 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | MRS. TAMMI M COPELLI (CORPORATE SECRETARY) |
| Authorized Official Telephone | 7704467305 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Chiropractic Center of Norcross | Doing Business As Name - Organization |
| Street Address |
720 HOLCOMB BRIDGE RD |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528197738 | Thomas Michael Copelli | Chiropractor | 720 Holcomb Bridge Rd, Norcross, GA 30071-1325 | 2007-03-05 |
| 1285852079 | Wendy Bermpohl | Chiropractor | 720 Holcomb Bridge Rd, Norcross, GA 30071-1325 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| 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 |
|---|---|---|---|---|
| 1699243444 | David A Capoferri | Chiropractor | 6316 Spalding Dr Ste 1, Norcross, GA 30092-4668 | 2018-11-09 |
| 1609385731 | Brian T Vu | Chiropractor | 5495 Jimmy Carter Blvd Ste C2, Norcross, GA 30093-1514 | 2017-09-20 |
| 1063945947 | Injury and Rehab Centers of Georgia, LLC | Chiropractor | 1568 Indian Trail Lilburn Rd Ste 105, Norcross, GA 30093-2613 | 2017-04-06 |
| 1699127860 | Matthew David Spaur | Chiropractor | 3091 Holcomb Bridge Rd Ste D1, Norcross, GA 30071-1392 | 2016-07-12 |
| 1902210750 | Nghia Pham | Chiropractor | 5430 Jimmy Carter Blvd Ste 200, Norcross, GA 30093-1506 | 2014-06-19 |
| 1801224530 | Clifton Armstrong | Chiropractor | 4720 Peachtree Industrial Blvd Ste 104, Norcross, GA 30071-5736 | 2013-10-15 |
| 1356682777 | Matthew Ryan Boudreau | Chiropractor | 3091 Holcomb Bridge Rd, Suite D1, Norcross, GA 30071-1335 | 2013-03-11 |
| 1760733869 | Bell Dc Investments LLC | Chiropractor | 39a S Peachtree St, Norcross, GA 30071-2503 | 2012-09-28 |
| 1568713725 | Tannaz Modaresi | Chiropractor | 3800 Holcomb Bridge Rd Ste D, Norcross, GA 30092-2230 | 2012-09-27 |
| 1154658797 | Shannon Ann Mcbride | Chiropractor | 5860 Jimmy Carter Blvd Ste 110, Norcross, GA 30071-4657 | 2009-11-03 |
| Find all providers in NORCROSS | ||||
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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.