Active NPI
Coosa Valley Chiropractic Center,Inc.
- Chiropractor
- Sylacauga, AL
National Provider Identifier
1124324306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1184
- Legal business name
- COOSA VALLEY CHIROPRACTIC CENTER,INC.
- Practice address
- 11 Western Ave
Sylacauga, AL 35150-2939 - Phone
- (256) 245-0404
- Fax
- (256) 245-0404
- NPI assigned
- Feb 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Holmes
- Title
- Office Manager
- Phone
- (256) 245-0404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1184 | AL | Primary |
Addresses
Primary practice location
11 Western Ave
Sylacauga, AL 35150-2939
Mailing address
11 Western Ave
Sylacauga, AL 35150-2939
Phone (256) 245-0404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11 Western Ave
Sylacauga, AL 35150
Phone (205) 245-0404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Sylacauga, AL
- NPI 1790789386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298505600000",
"number": "1124324306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 WESTERN AVE",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "351502939",
"telephone_number": "256-245-0404",
"fax_number": "256-245-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 WESTERN AVE",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "351502939",
"telephone_number": "256-245-0404",
"fax_number": "256-245-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOSA VALLEY CHIROPRACTIC CENTER,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-04",
"last_updated": "2011-02-24",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "256-245-0404"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AL",
"license": "1184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylacauga, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.