Organization Active NPI

Waldrop Chiropractic Clinic, Inc

  • Chiropractor
  • Cullman, AL
National Provider Identifier
1306888680
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WALDROP CHIROPRACTIC CLINIC, INC
Practice address
1015 4TH St SW
Cullman, AL 35055-3327
Phone
(256) 734-5522
Fax
(256) 737-9649
NPI assigned
Jun 12, 2006
Last updated
Jul 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Gregory S WaldropNPI 1497790653
Title
Owner
Phone
(256) 734-5522

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1015 4TH St SW
Cullman, AL 35055-3327

Mailing address

1015 4TH St SW
Cullman, AL 35055-3327
Phone (256) 734-5522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060712000320 AL Part B Supplier - Clinic/Group Practice 3577576677 Receives reassigned benefits from 2 practitioners
Practice locations: Cullman, AL

National Provider Directory

National Provider Directory

Locations

1015 4th St SW
Cullman, AL 35055
Phone (256) 734-5522

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1306888680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 4TH ST SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553327",
            "telephone_number": "256-734-5522",
            "fax_number": "256-737-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 4TH ST SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553327",
            "telephone_number": "256-734-5522",
            "fax_number": "256-737-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDROP CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-734-5522"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.