Active NPI
Manasco Chiropractic Clinic, P.C.
- Chiropractor
- Carbon Hill, AL
National Provider Identifier
1275735482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1783
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- Title
- Doctorowner
- Phone
- (205) 924-0050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051003000297 | AL | Part B Supplier - Clinic/Group Practice | 6002841673 | Practice locations: Jasper, AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Carbon Hill, AL
- NPI 1316038474
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
- Michael Wayne Johnson, LPTA
- Kenneth Guin Drugs Inc
- Calina Thereas Kimbrell
- Laboratory Corporation of America Holdings
- Brian Maloney, LCSW, PHD
- Robert Brian Manasco, D.C.
- NWMC Winfield Physician Practices
- NWMC-Winfield Physician Practices LLC
- Perry D Vickers
- Quest Diagnostics Clinical Laboratories Inc
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.