Randolph Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1931 Issued in AL

Legal business name

RANDOLPH CHIROPRACTIC CLINIC

Practice address

7596 US Hwy 43
Guin, AL 35563

Phone

(205) 468-3464

Fax

(205) 468-3724

NPI assigned

Sep 8, 2006

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth J Randolph, CHIROPRACTOR DCNPI 1770532327

Title

Owner of Business

Phone

(205) 468-3464

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Kenneth Joel Randolph, D.C.

  • Chiropractor
  • Tuscaloosa, AL
  • NPI 1770532327
  NPD (past) Authorized official
• Alexander Lee Smith, D.C.

  • Chiropractor
  • Guin, AL
  • NPI 1801341284
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1174627418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "GUIN",
            "state": "AL",
            "postal_code": "35563",
            "telephone_number": "205-468-3464",
            "fax_number": "205-468-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7596 US HWY 43",
            "city": "GUIN",
            "state": "AL",
            "postal_code": "35563",
            "telephone_number": "205-468-3464",
            "fax_number": "205-468-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER OF BUSINESS",
        "authorized_official_telephone_number": "205-468-3464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CHIROPRACTOR DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51003438",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NWMC-Winfield Physician Practices LLC (Guin Medical Clinic)
• NWMC-Winfield Physician Practices, LLC
• Kimberly Deann Perkins, LPTA
• Allison Pool
• Wanda Lynn Privett, COTA
• Timothy Alan Shaw Sr., D.O.
• Smith Family Chiropractic Center (Randolph Chiropractic Center)
• Smith Family Dentistry LLC
• Alexander Lee Smith, D.C.
• Jordan Smith, DMD

• Chiropractor in Guin, AL
• Providers in Guin, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.