Individual provider Active NPI

Chase Walters, D.C.

  • Chiropractor
  • Dothan, AL
National Provider Identifier
1316213465
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2361 Issued in AL
Practice address
1491 Hartford Hwy
Dothan, AL 36301-3349
Phone
(334) 673-1488
Fax
(334) 673-8798
NPI assigned
Mar 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2361 AL Primary

Addresses

Primary practice location

1491 Hartford Hwy
Dothan, AL 36301-3349

Mailing address

PO Box 6853
Dothan, AL 36302-6853
Phone (334) 673-1488

Other identifiers 2

IdentifierTypeStateIssuer
1316213465OtherALNPI
51123682OtherALBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120426000644 AL Practitioner - Chiropractic 8022270636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Elevate Medical LLCGroup PAC ID 2961941158, 2 clinicians

Practice addresses (Care Compare)

1491 Hartford Hwy
Dothan, AL 36301-3349
Phone (334) 673-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Chiropractic Associates,P.C. Chiropractor CurrentSince Mar 12, 2012 Accepting new patients
Elevate Medical, LLC CurrentSince May 7, 2024 Accepting new patients

Locations

1491 Hartford Hwy
Dothan, AL 36301
Phone (334) 673-1488

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1316213465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6853",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363026853",
            "telephone_number": "334-673-1488",
            "fax_number": "334-673-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 HARTFORD HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013349",
            "telephone_number": "334-673-1488",
            "fax_number": "334-673-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CHASE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316213465",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51123682",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.