Active NPI
Whiddon Healthcare, Inc
- Chiropractor
- Lincoln, AL
National Provider Identifier
1295971968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2123
- Legal business name
- WHIDDON HEALTHCARE, INC
- Practice address
- 47795 US Highway 78
Lincoln, AL 35096-6755 - Phone
- (205) 763-2222
- Fax
- (205) 763-7540
- NPI assigned
- Dec 30, 2008
- 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. Joshua Whiddon, D.C.
- Title
- Owner
- Phone
- (205) 763-2222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2123 | AL | Primary |
Addresses
Primary practice location
47795 US Highway 78
Lincoln, AL 35096-6755
Mailing address
47795 US Highway 78
Lincoln, AL 35096-6755
Phone (205) 763-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51534993 | Other | AL | BLUE CROSS BLUE SHIELD |
Other names 1
- Lincoln Chiropractic and Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090217000104 | AL | Part B Supplier - Clinic/Group Practice | 2163587619 |
Receives reassigned benefits from 1 practitioner Practice locations: Lincoln, AL |
National Provider Directory
National Provider DirectoryLocations
47795 US Highway 78
Lincoln, AL 35096
Phone (205) 763-2015
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230595200000",
"number": "1295971968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47795 US HIGHWAY 78",
"city": "LINCOLN",
"state": "AL",
"postal_code": "350966755",
"telephone_number": "205-763-2222",
"fax_number": "205-763-7540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47795 US HIGHWAY 78",
"city": "LINCOLN",
"state": "AL",
"postal_code": "350966755",
"telephone_number": "205-763-2222",
"fax_number": "205-763-7540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHIDDON HEALTHCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-30",
"last_updated": "2008-12-30",
"status": "A",
"authorized_official_last_name": "WHIDDON",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-763-2222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AL",
"license": "2123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51534993",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lincoln Chiropractic and Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincoln, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.