Organization Active NPI

E Z Health Clinic

  • Chiropractor
  • Montgomery, AL
National Provider Identifier
1063740892
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
E Z HEALTH CLINIC
Practice address
3845 Interstate CT Ste 5
Montgomery, AL 36109-5223
Phone
(334) 270-0284
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. Shawn Pak, D.C.,L.AC
Title
Chiropractor
Phone
(334) 270-0284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3845 Interstate CT Ste 5
Montgomery, AL 36109-5223

Mailing address

3845 Interstate CT Ste 5
Montgomery, AL 36109-5223
Phone (334) 270-0284

National Provider Directory

National Provider Directory

Locations

3845 Interstate Ct
Ste 5
Montgomery, AL 36109
Phone (334) 270-0284

Practitioners & affiliated clinicians

Practitioners 1

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": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1063740892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 INTERSTATE CT STE 5",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361095223",
            "telephone_number": "334-270-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 INTERSTATE CT STE 5",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361095223",
            "telephone_number": "334-270-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E Z HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "334-270-0284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,L.AC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.