Organization Active NPI

Marsh PC Dba SPCC Mt Laurel

  • Chiropractor
  • Birmingham, AL
National Provider Identifier
1134318264
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1607 Issued in AL
Legal business name
MARSH PC DBA SPCC MT LAUREL
Doing business as
marsh pc dba spcc mt laurel
Practice address
50 Manning PL
Birmingham, AL 35242-1809
Phone
(205) 437-8837
Fax
(205) 437-3705
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Mrs. Jessica Marie Dietrich-Marsh, DC
Title
Chiropractor
Phone
(205) 437-8837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1607 AL Primary

Addresses

Primary practice location

50 Manning PL
Birmingham, AL 35242-1809

Mailing address

50 Manning PL
Birmingham, AL 35242-1809
Phone (205) 437-8837

Other names 1

  • marsh pc dba spcc mt laurel Doing business as

National Provider Directory

National Provider Directory

Locations

50 Manning Pl
Birmingham, AL 35242
Phone (205) 437-8837

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1134318264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MANNING PL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421809",
            "telephone_number": "205-437-8837",
            "fax_number": "205-437-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MANNING PL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421809",
            "telephone_number": "205-437-8837",
            "fax_number": "205-437-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSH PC DBA SPCC MT LAUREL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DIETRICH-MARSH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "205-437-8837",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "marsh pc dba spcc mt laurel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.