Organization Active NPI

Madison Chirotherapy PLLC

  • Chiropractor
  • Madison, FL
National Provider Identifier
1174047609
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12200 Issued in FL
Legal business name
MADISON CHIROTHERAPY PLLC
Practice address
126 SW Sumatra Ave Unit C
Madison, FL 32340-1458
Phone
(850) 253-2326
Fax
(850) 253-2381
NPI assigned
Jul 26, 2017
Last updated
Mar 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Dr. Joseph Murray Herring, DCNPI 1164802476
Title
Provider/Owner
Phone
(850) 253-2326

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH12200 FL Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X FL

Addresses

Primary practice location

126 SW Sumatra Ave Unit C
Madison, FL 32340-1458

Mailing address

126 SW Sumatra Ave Unit C
Madison, FL 32340-1458
Phone (850) 253-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171120001035 FL Part B Supplier - Clinic/Group Practice 6204193600 Receives reassigned benefits from 3 practitioners
Practice locations: Madison, FL
O20210317002969 FL DME Supplier - Nurse Practitioner 6204193600 Practice locations: Madison, FL

National Provider Directory

National Provider Directory

Locations

126 SW Sumatra Ave
Unit C
Madison, FL 32340
Phone (850) 253-2326

Practitioners & affiliated clinicians

Practitioners 5

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": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1174047609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SW SUMATRA AVE UNIT C",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401458",
            "telephone_number": "850-253-2326",
            "fax_number": "850-253-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SW SUMATRA AVE UNIT C",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401458",
            "telephone_number": "850-253-2326",
            "fax_number": "850-253-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON CHIROTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MURRAY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "850-253-2326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12200",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.