Organization Active NPI

Delila Enterprises Dba Chiropractic First

  • Chiropractor
  • Fort Payne, AL
National Provider Identifier
1144377151
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1987 Issued in AL
Legal business name
DELILA ENTERPRISES DBA CHIROPRACTIC FIRST
Practice address
1104 Gault Ave S # a
Fort Payne, AL 35967-4920
Phone
(256) 844-8215
Fax
(256) 844-8210
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Ralph Bouchard Jr., D.C.NPI 1497848428
Title
Owner
Phone
(256) 844-8215

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 1987 AL Primary

Addresses

Primary practice location

1104 Gault Ave S # a
Fort Payne, AL 35967-4920

Mailing address

1104 Gault Ave S # a
Fort Payne, AL 35967-4920
Phone (256) 844-8215

Other identifiers 2

IdentifierTypeStateIssuer
51503338BOUOtherALBLUE CROSS
1497848428OtherALPERSONAL NPI

Other names 1

  • Chiropractic First Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040416001388 AL Part B Supplier - Clinic/Group Practice 7416942693 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Payne, AL

National Provider Directory

National Provider Directory

Locations

1104 Gault Ave S
Ste A
Fort Payne, AL 35967
Phone (256) 844-8215

Practitioners & affiliated clinicians

Practitioners 2

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144377151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 GAULT AVE S # A",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359674920",
            "telephone_number": "256-844-8215",
            "fax_number": "256-844-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 GAULT AVE S # A",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359674920",
            "telephone_number": "256-844-8215",
            "fax_number": "256-844-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELILA ENTERPRISES DBA CHIROPRACTIC FIRST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-844-8215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51503338BOU",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1497848428",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic First",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.