Integrative Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2449 Issued in AL

Legal business name

INTEGRATIVE CHIROPRACTIC, LLC

Practice address

1580 Montgomery Hwy
Suite 14
Hoover, AL 35216-4586

Phone

(205) 637-1363

Fax

(205) 637-1391

NPI assigned

Jun 26, 2015

Last updated

Aug 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Russell, D.CNPI 1063889848

Title

Owner

Phone

(205) 637-1363

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Nelson Russell, DC

  • Chiropractor
  • Hoover, AL
  • NPI 1063889848
  Authorized official Same address or phone
• John Taylor Russell, DC

  • Chiropractor
  • Hoover, AL
  • NPI 1871184846
  NPD (past)

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1053793935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MONTGOMERY HWY",
            "address_2": "SUITE 14",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164586",
            "telephone_number": "205-637-1363",
            "fax_number": "205-637-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MONTGOMERY HWY",
            "address_2": "SUITE 14",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164586",
            "telephone_number": "205-637-1363",
            "fax_number": "205-637-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-637-1363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Hoover, AL
• Providers in Hoover, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.