NPIMap

Organization Active NPI

Modern Chiropractic, LLC

  • Chiropractor
  • Alabaster, AL
National Provider Identifier
1033461827
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2343 Issued in AL
Legal business name
MODERN CHIROPRACTIC, LLC
Practice address
149 Buck Creek PLZ
Alabaster, AL 35007-7005
Phone
(404) 644-9803
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dr. Matthew Lerandal Talley, D.C.
Title
Owner/Physician
Phone
(404) 644-9803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2343 AL Primary

Addresses

Primary practice location

149 Buck Creek PLZ
Alabaster, AL 35007-7005

Mailing address

149 Buck Creek PLZ
Alabaster, AL 35007-7005
Phone (404) 644-9803

National Provider Directory

National Provider Directory

Locations

149 Buck Creek Plz
Alabaster, AL 35007
Phone (404) 644-9803

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1033461827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 BUCK CREEK PLZ",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350077005",
            "telephone_number": "404-644-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 BUCK CREEK PLZ",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350077005",
            "telephone_number": "404-644-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LERANDAL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "404-644-9803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.