Organization Active NPI

Ozark Chiropractic and Wellness Center LLC

  • Chiropractor
  • Ozark, AL
National Provider Identifier
1093280547
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OZARK CHIROPRACTIC AND WELLNESS CENTER LLC
Practice address
1550 Andrews Ave Ste 2
Ozark, AL 36360-3769
Phone
(334) 445-2525
NPI assigned
Oct 11, 2018
Last updated
Oct 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Dr. Erin Massey, DC
Title
Owner
Phone
(815) 557-4736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1550 Andrews Ave Ste 2
Ozark, AL 36360-3769

Mailing address

1550 Andrews Ave Ste 2
Ozark, AL 36360-3769
Phone (334) 445-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190301000585 AL Part B Supplier - Clinic/Group Practice 8921347311 Receives reassigned benefits from 1 practitioner
Practice locations: Ozark, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1093280547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 ANDREWS AVE STE 2",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363603769",
            "telephone_number": "334-445-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 ANDREWS AVE STE 2",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363603769",
            "telephone_number": "334-445-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-557-4736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.

Verify at the official NPI Registry.