Active NPI
Stewart Chiropractic Clinic LLC
- Chiropractor
- Decatur, AL
National Provider Identifier
1174238257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- STEWART CHIROPRACTIC CLINIC LLC
- Practice address
- 2114 Central Pkwy SW Ste G
Decatur, AL 35601-6850 - Phone
- (256) 777-6762
- Fax
- (256) 649-2291
- NPI assigned
- Jan 23, 2023
- 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
- Dr. De'Andra Michelle Stewart, D.C.
- Title
- Chiropractor/Owner
- Phone
- (256) 566-8619
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2114 Central Pkwy SW Ste G
Decatur, AL 35601-6850
Mailing address
1605 Thomas Dr SW
Decatur, AL 35601-2750
Phone (256) 566-8619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2114 Central Pkwy SW
Ste G
Decatur, AL 35601
Phone (256) 777-6762
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
- Decatur, AL
- NPI 1962649053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719446400000",
"number": "1174238257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 THOMAS DR SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356012750",
"telephone_number": "256-566-8619",
"fax_number": "256-822-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 CENTRAL PKWY SW STE G",
"city": "DECATUR",
"state": "AL",
"postal_code": "356016850",
"telephone_number": "256-777-6762",
"fax_number": "256-649-2291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEWART CHIROPRACTIC CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "DE'ANDRA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "256-566-8619",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.