Individual provider Active NPI

Cody Michael Elenz, DC

  • Chiropractor
  • Spanish Fort, AL
National Provider Identifier
1033735519
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2811 Issued in AL
Practice address
10200 Eastern Shore Blvd Ste 106
Spanish Fort, AL 36527-5816
Phone
(251) 621-4037
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14054 FL
Chiropractor 111N00000X 14429 TX
Chiropractor 111N00000X 2811 AL Primary

Addresses

Primary practice location

10200 Eastern Shore Blvd Ste 106
Spanish Fort, AL 36527-5816

Mailing address

1090 Scenic Hwy
Pensacola, FL 32503-6617
Phone (254) 258-2295

Other practice location 1

1856 Patriot Circle
Copperas Cove, TX 76522
Phone (254) 258-2295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200804001816 TX Practitioner - Chiropractic 0143645457
I20231101001215 AL Practitioner - Chiropractic 0143645457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Cejr Health Services LLCGroup PAC ID 0042665440, 3 clinicians

Practice addresses (Care Compare)

10200 Eastern Shore Blvd
Suite 106
Spanish Fort, AL 36527-5816
Phone (251) 621-4037

4619 Main St
Suite a 201
Orange Beach, AL 36561-5847
Phone (254) 258-2295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14054FLMDChiropractor
14429TXMDPeriodontist
2811ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hsinvestsf Chiropractor CurrentSince Jul 23, 2023 Accepting new patients
Pinnacle Spine and Sport LLC Chiropractor CurrentSince Mar 15, 2026 Accepting new patients
Cejr Health Services, LLC Chiropractor CurrentSince Aug 1, 2023 Accepting new patients
Healthsource of Northwest Florida LLC Chiropractor PastSince Nov 21, 2022 Accepting new patients

Locations

10200 Eastern Shore Blvd
Ste 106
Spanish Fort, AL 36527
Phone (251) 621-4037

1090 Scenic Hwy
Pensacola, FL 32503
Phone 8504735555 ext. 3

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1033735519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 SCENIC HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036617",
            "telephone_number": "254-258-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 EASTERN SHORE BLVD STE 106",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275816",
            "telephone_number": "251-621-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1856 Patriot Circle",
            "address_purpose": "LOCATION",
            "city": "Copperas Cove",
            "state": "TX",
            "postal_code": "76522",
            "country_code": "US",
            "telephone_number": "254-258-2295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELENZ",
        "first_name": "CODY",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14054",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14429",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.