1. Home
  2. Directory
  3. Georgia
  4. Dallas
  5. Physician Assistant
  6. NPI Profile

SELANO CHIROPRACTIC CENTER INC
NPI 1558008771
Physician Assistant in Dallas, GA

Active since May 18, 2022CLIA 11D2092707 · Waiver
243 MERCHANTS DR, DALLAS, GA 30132(770) 445-1362 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Selano Chiropractic Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELANO CHIROPRACTIC CENTER INC (NPI 1558008771), doing business as Regen Osteo, is a healthcare organization registered as a physician assistant in Dallas, Georgia and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Jeff Selano, Manager / Partial Owner, as its authorized official.

NPPES Registry Identity

NPI1558008771
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSELANO CHIROPRACTIC CENTER INC
Location Address243 MERCHANTS DRDallas, GA 30132-4749
Mailing Address243 Merchants DrDallas, GA 30132-4749 · (770) 445-1362
Phone(770) 445-1362
Organization SubpartNo
Authorized OfficialJeff SelanoManager / Partial Owner · (770) 445-1362
Enumeration DateMay 18, 2022
NPPES CertifiedMay 18, 2022
✔ NPI 1558008771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
243 MERCHANTS DR, Dallas, GA 30132
Open in Google Maps ↗

Other Names 1

Doing Business AsRegen Osteo

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2092707

Selano Chiropractic Center · Dallas, GA
Active · expires Mar 10, 2027
CLIA Number11D2092707
Laboratory TypePractitioner Other
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorTabatha A. Miller
Laboratory Phone(000) 770-4451
Laboratory LocationSelano Chiropractic Center243 Merchants Drive, Dallas, GA 30132
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE WALLACE MD
General Practice
243 MERCHANTS DR
DALLAS, GA 30132
Paulding County (770) 230-9967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selano Chiropractic Center Inc's NPI number?

The NPI number for Selano Chiropractic Center Inc is 1558008771. It was assigned to this organization in the NPPES registry on May 18, 2022. The provider is doing business as Regen Osteo.

Where is Selano Chiropractic Center Inc located?

Selano Chiropractic Center Inc is located at 243 Merchants Dr, Dallas, GA 30132. The listed phone number is (770) 445-1362.

What is Selano Chiropractic Center Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Selano Chiropractic Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2092707) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Selano Chiropractic Center Inc was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.