Individual provider Active NPI

John Benjamin Faulds, DC

  • Chiropractor
  • Hampton Cove, AL
National Provider Identifier
1205939154
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2173 Issued in AL
Practice address
180 Old Highway 431
Hampton Cove, AL 35763-9271
Phone
(256) 533-3443
Fax
(256) 533-3637
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2173 AL Primary

Addresses

Primary practice location

180 Old Highway 431
Hampton Cove, AL 35763-9271

Mailing address

180 Old Highway 431
Hampton Cove, AL 35763-9271
Phone (256) 533-3443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000211 AL Practitioner - Chiropractic 5991783870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

180 Old Hwy 431
Suite E
Owens Cross Roads, AL 35763-9274
Phone (256) 533-3443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2173ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiroplus, LLC Chiropractor CurrentSince Nov 16, 2021 Accepting new patients

Locations

180 Old Highway 431
Ste E
Owens Cross Roads, AL 35763
Phone (256) 533-3443

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1205939154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 OLD HIGHWAY 431",
            "city": "HAMPTON COVE",
            "state": "AL",
            "postal_code": "357639271",
            "telephone_number": "256-533-3443",
            "fax_number": "256-533-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 OLD HIGHWAY 431",
            "city": "HAMPTON COVE",
            "state": "AL",
            "postal_code": "357639271",
            "telephone_number": "256-533-3443",
            "fax_number": "256-533-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULDS",
        "first_name": "JOHN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Cove, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.