Active NPI
Carnes Chiropractic and Wellness Center
- Clinic/Center
- Dothan, AL
National Provider Identifier
1053554675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 1003
- Legal business name
- CARNES CHIROPRACTIC AND WELLNESS CENTER
- Practice address
- 2323 W Main St Ste 109
Dothan, AL 36301-1287 - Phone
- (334) 794-2225
- NPI assigned
- Apr 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert M Carnes, D.C.
- Title
- Ceo
- Phone
- (334) 794-2225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 1003 | AL | Primary |
Addresses
Primary practice location
2323 W Main St Ste 109
Dothan, AL 36301-1287
Mailing address
2323 W Main St Ste 109
Dothan, AL 36301-1287
Phone (334) 794-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120829000486 | AL | Part B Supplier - Clinic/Group Practice | 0547417388 |
Receives reassigned benefits from 2 practitioners Practice locations: Dothan, AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340582400000",
"number": "1053554675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 W MAIN ST STE 109",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011287",
"telephone_number": "334-794-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 W MAIN ST STE 109",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011287",
"telephone_number": "334-794-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARNES CHIROPRACTIC AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-13",
"last_updated": "2012-06-25",
"status": "A",
"authorized_official_last_name": "CARNES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "334-794-2225",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "AL",
"license": "1003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.