DR. DEREK LANE BOUDREAUX D.C.
NPI 1669640819
Chiropractor in Marietta, GA

Q: What is Derek Boudreaux's NPI number?

The NPI number for Derek Boudreaux is 1669640819. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Q: What is Derek Boudreaux's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Boudreaux was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 11, 2008

3660 CANTON RD, SUITE 140, MARIETTA, GA 30066(770) 596-6367(770) 928-1471 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Derek Lane Boudreaux D.c. NPPES

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

DR. DEREK LANE BOUDREAUX D.C. (NPI 1669640819) is an individual chiropractor in Marietta, Georgia, licensed in Georgia (008213) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1669640819

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. DEREK LANE BOUDREAUXCredential: D.C.

Location Address3660 CANTON RD, SUITE 140Marietta, GA 30066-2660

Mailing Address3660 Canton Rd, Suite 140Marietta, GA 30066-2660 · (770) 596-6367 · Fax (770) 928-1471

Phone(770) 596-6367

Fax(770) 928-1471

Sole ProprietorYes

Enumeration DateFebruary 11, 2008

✔ NPI 1669640819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in GA · 008213

Definition

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.

3660 CANTON RD, Marietta, GA 30066

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Other Providers at the Same Location NPPES

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

THE MICHOU CORPORATION

In Home Supportive Care

3660 CANTON RD
MARIETTA, GA 30066

Cobb County (678) 586-1808

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 Derek Boudreaux's NPI number?

The NPI number for Derek Boudreaux is 1669640819. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Where is Derek Boudreaux located?

Derek Boudreaux practices at 3660 Canton Rd Suite 140, Marietta, GA 30066. The listed phone number is (770) 596-6367.

What is Derek Boudreaux's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Derek Boudreaux was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.