Active NPI
University Chiropractic
- Chiropractor
- Tuscaloosa, AL
National Provider Identifier
1013399765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1341
- Legal business name
- UNIVERSITY CHIROPRACTIC
- Practice address
- 523 Queen City Ave
Tuscaloosa, AL 35401-1513 - Phone
- (205) 248-7656
- Fax
- (205) 248-7768
- NPI assigned
- Jun 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Scott Hitchner, D.C.
- Title
- Owner
- Phone
- (205) 534-1873
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1341 | AL | Primary |
Addresses
Primary practice location
523 Queen City Ave
Tuscaloosa, AL 35401-1513
Mailing address
523 Queen City Ave
Tuscaloosa, AL 35401-1513
Phone (205) 248-7656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150922000296 | AL | Part B Supplier - Clinic/Group Practice | 6002123114 |
Receives reassigned benefits from 1 practitioner Practice locations: Tuscaloosa, AL |
National Provider Directory
National Provider DirectoryLocations
523 Queen City Ave
Tuscaloosa, AL 35401
Phone (205) 248-7656
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439856000000",
"number": "1013399765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 QUEEN CITY AVE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354011513",
"telephone_number": "205-248-7656",
"fax_number": "205-248-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 QUEEN CITY AVE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354011513",
"telephone_number": "205-248-7656",
"fax_number": "205-248-7768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-18",
"last_updated": "2015-08-18",
"status": "A",
"authorized_official_last_name": "HITCHNER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-534-1873",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AL",
"license": "1341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.