NPIMap

Organization Active NPI

Manasco Chiropractic Clinic, P.C.

  • Chiropractor
  • Carbon Hill, AL
National Provider Identifier
1275735482
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1783 Issued in AL
Legal business name
MANASCO CHIROPRACTIC CLINIC, P.C.
Practice address
32020 1St Avenue NW
Carbon Hill, AL 35549
Phone
(205) 924-0050
Fax
(205) 924-0065
NPI assigned
Jun 1, 2007
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Robert Brian Manasco, D.C.NPI 1487625687
Title
Doctorowner
Phone
(205) 924-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1783 AL Primary

Addresses

Primary practice location

32020 1St Avenue NW
Carbon Hill, AL 35549

Mailing address

PO Box 187
Carbon Hill, AL 35549-0187
Phone (205) 924-0050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000297 AL Part B Supplier - Clinic/Group Practice 6002841673 Practice locations: Jasper, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1275735482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "CARBON HILL",
            "state": "AL",
            "postal_code": "355490187",
            "telephone_number": "205-924-0050",
            "fax_number": "205-924-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32020 1ST AVENUE NW",
            "city": "CARBON HILL",
            "state": "AL",
            "postal_code": "35549",
            "telephone_number": "205-924-0050",
            "fax_number": "205-924-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASCO CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MANASCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DOCTOROWNER",
        "authorized_official_telephone_number": "205-924-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbon Hill, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.

Verify at the official NPI Registry.