Active NPI
Kimberly Diane Ogletree, D.C.
- Chiropractor
- Montgomery, AL
National Provider Identifier
1023282522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2224
- Practice address
- 4171 Lomac St
Ste Aoa
Montgomery, AL 36106-2945 - Phone
- (334) 333-5979
- NPI assigned
- Apr 15, 2008
- Last updated
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2224 | AL | Primary |
Addresses
Primary practice location
4171 Lomac St
Ste Aoa
Montgomery, AL 36106-2945
Mailing address
3969 Johnstown Dr
Montgomery, AL 36109-2342
Phone (334) 333-5979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210423000040 | AL | Practitioner - Chiropractic | 4688082027 | Practice locations: Montgomery, AL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- MS PPO
- MS PPO C-SNP
- MS PPO D-SNP
- FL PPO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1023282522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3969 JOHNSTOWN DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361092342",
"telephone_number": "334-333-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4171 LOMAC ST",
"address_2": "STE AOA",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062945",
"telephone_number": "334-333-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGLETREE",
"first_name": "KIMBERLY",
"middle_name": "DIANE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-15",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.