Individual provider Active NPI

Cary D Skelton, DC

  • Chiropractor
  • Tuscaloosa, AL
National Provider Identifier
1174622286
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1969 Issued in AL
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

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 4 clinicians

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

LicenseStateTypeSpecialty
1969ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Skelton Chiropractic Center, Inc Chiropractor CurrentSince Oct 1, 2001 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.

Verify at the official NPI Registry.