NPIMap

Organization Active NPI

Southeastern Diagnostic & Rehabilitation, LLC

  • Chiropractor
  • Birmingham, AL
National Provider Identifier
1033258686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTHEASTERN DIAGNOSTIC & REHABILITATION, LLC
Practice address
2321 John Hawkins Pkwy
Suite 113
Birmingham, AL 35244-3540
Phone
(205) 682-1227
Fax
(205) 682-1230
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chukwuemeka K Eze, D.C.
Title
Office Manager Partner
Phone
(205) 682-1227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2321 John Hawkins Pkwy
Suite 113
Birmingham, AL 35244-3540

Mailing address

2321 John Hawkins Pkwy
Suite 113
Birmingham, AL 35244-3540
Phone (205) 682-1227

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033258686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 JOHN HAWKINS PKWY",
            "address_2": "SUITE 113",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443540",
            "telephone_number": "205-682-1227",
            "fax_number": "205-682-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 JOHN HAWKINS PKWY",
            "address_2": "SUITE 113",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443540",
            "telephone_number": "205-682-1227",
            "fax_number": "205-682-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN DIAGNOSTIC & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "CHUKWUEMEKA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER PARTNER",
        "authorized_official_telephone_number": "205-682-1227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.