Organization Active NPI

Whiddon Healthcare, Inc

  • Chiropractor
  • Lincoln, AL
National Provider Identifier
1295971968
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2123 Issued in AL
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

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Joshua Whiddon, D.C.NPI 1346206414
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
51534993OtherALBLUE CROSS BLUE SHIELD

Other names 1

  • Lincoln Chiropractic and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090217000104 AL Part B Supplier - Clinic/Group Practice 2163587619 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, AL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.