Active NPI
Cary D Skelton, DC
- Chiropractor
- Tuscaloosa, AL
National Provider Identifier
1174622286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1969
- Practice address
- 2601 12TH St
Tuscaloosa, AL 35401-2807 - Phone
- (205) 758-7158
- Fax
- (205) 758-7166
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1969 | AL | Primary |
Addresses
Primary practice location
2601 12TH St
Tuscaloosa, AL 35401-2807
Mailing address
2601 12TH St
Tuscaloosa, AL 35401-2807
Phone (205) 758-7158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110107000517 | AL | Practitioner - Chiropractic | 4981690393 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Skelton Chiropractic Center, Inc
Practice addresses (Care Compare)
2601 12TH St
Tuscaloosa, AL 35401-2807
Phone (205) 758-7158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1969 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skelton Chiropractic Center, Inc | Chiropractor | Current | Accepting new patients |
Locations
2601 12th St
Tuscaloosa, AL 35401
Phone (205) 758-7158
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1174622286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 12TH ST",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354012807",
"telephone_number": "205-758-7158",
"fax_number": "205-758-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 12TH ST",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354012807",
"telephone_number": "205-758-7158",
"fax_number": "205-758-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKELTON",
"first_name": "CARY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.