Organization Active NPI

Capstone Chiropractic Center, P.C.

  • Chiropractor
  • Northport, AL
National Provider Identifier
1104919497
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1490 Issued in AL
Legal business name
CAPSTONE CHIROPRACTIC CENTER, P.C.
Practice address
3689 Watermelon Rd
Northport, AL 35473-5139
Phone
(205) 758-1600
Fax
(205) 758-6698
NPI assigned
Oct 2, 2006
Last updated
Feb 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Karen Brown, D.C.NPI 1396843348
Title
Owner/President
Phone
(205) 758-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1490 AL Primary

Addresses

Primary practice location

3689 Watermelon Rd
Northport, AL 35473-5139

Mailing address

3689 Watermelon Rd
Northport, AL 35473-5139
Phone (205) 758-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051027001098 AL Part B Supplier - Clinic/Group Practice 9537186622 Receives reassigned benefits from 1 practitioner
Practice locations: Northport, AL

National Provider Directory

National Provider Directory

Locations

3689 Watermelon Rd
Northport, AL 35473
Phone (205) 758-1600

Practitioners & affiliated clinicians

Practitioners 4

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1104919497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735139",
            "telephone_number": "205-758-1600",
            "fax_number": "205-758-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735139",
            "telephone_number": "205-758-1600",
            "fax_number": "205-758-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "205-758-1600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.