NPIMap

Organization Active NPI

Prime Spine, LLC

  • Chiropractor
  • Vestavia, AL
National Provider Identifier
1093137739
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2245 Issued in AL
Legal business name
PRIME SPINE, LLC
Practice address
700 Montgomery Hwy Ste 164
Vestavia, AL 35216-1875
Phone
(205) 414-7895
Fax
(205) 414-7896
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Milton M. Smith III, D.C.NPI 1982871083
Title
Owner
Phone
(205) 414-7895

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2245 AL Primary

Addresses

Primary practice location

700 Montgomery Hwy Ste 164
Vestavia, AL 35216-1875

Mailing address

700 Montgomery Hwy Ste 164
Vestavia, AL 35216-1875
Phone (205) 414-7895

Other practice location 1

1651 Independence Ct
Suite 121
Birmingham, AL 35209-4173
Phone (205) 414-7895

Other practice location 2

1651 Independence Ct
Suite 121
Birmingham, AL 35209-4173
Phone (205) 414-7895

National Provider Directory

National Provider Directory

Locations

1651 Independence Ct
Ste 121
Birmingham, AL 35209
Phone (205) 287-6120

700 Montgomery Hwy
Ste 164
Vestavia Hills, AL 35216
Phone (205) 414-7895

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": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1093137739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MONTGOMERY HWY STE 164",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161875",
            "telephone_number": "205-414-7895",
            "fax_number": "205-414-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MONTGOMERY HWY STE 164",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161875",
            "telephone_number": "205-414-7895",
            "fax_number": "205-414-7896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Independence Ct",
            "address_2": "Suite 121",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352094173",
            "country_code": "US",
            "telephone_number": "205-414-7895",
            "fax_number": "205-414-7896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1651 Independence Ct",
            "address_2": "Suite 121",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352094173",
            "country_code": "US",
            "telephone_number": "205-414-7895",
            "fax_number": "205-414-7896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIME SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-414-7895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.