Active NPI
Cody Michael Elenz, DC
- Chiropractor
- Spanish Fort, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2811
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH14054 | FL | MD | Chiropractor |
| 14429 | TX | MD | Periodontist |
| 2811 | AL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hsinvestsf | Chiropractor | Current | Accepting new patients |
| Pinnacle Spine and Sport LLC | Chiropractor | Current | Accepting new patients |
| Cejr Health Services, LLC | Chiropractor | Current | Accepting new patients |
| Healthsource of Northwest Florida LLC | Chiropractor | Past | 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.
-
- Chiropractor
- Spanish Fort, AL
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- Chiropractor
- Orange Beach, AL
- NPI 1922966621
-
- Chiropractor
- Madison, AL
- NPI 1922639798
-
- Chiropractor
- Pensacola, FL
- NPI 1104015866
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.