Individual provider Active NPI

Michael C Horn, DC

  • Chiropractor
  • Tuscaloosa, AL
National Provider Identifier
1326038514
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1130 Issued in AL
Practice address
1515 University Blvd
Tuscaloosa, AL 35401-1141
Phone
(205) 758-2225
Fax
(205) 758-2251
NPI assigned
Oct 27, 2005
Last updated
Aug 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1130 AL Primary

Addresses

Primary practice location

1515 University Blvd
Tuscaloosa, AL 35401-1141

Mailing address

1515 University Blvd
Tuscaloosa, AL 35401-1141
Phone (205) 758-2225

Other identifiers 1

IdentifierTypeStateIssuer
1130OtherALLICENSE # ST BD OF CHIRO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070213000487 AL Practitioner - Chiropractic 8426050923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic and Health Center, LLCGroup PAC ID 6608878194, 2 clinicians

Practice addresses (Care Compare)

1515 University Blvd
Tuscaloosa, AL 35401-1141
Phone (205) 758-2225

3309 McFarland Blvd
Northport, AL 35476-3178

3409 McFarland Blvd
Northport, AL 35476-3178
Phone (205) 333-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic & Health Center, LLC Chiropractor CurrentSince Jul 1, 2006 Accepting new patients

Locations

1515 University Blvd
Tuscaloosa, AL 35401
Phone (205) 333-2220

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1326038514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 UNIVERSITY BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011141",
            "telephone_number": "205-758-2225",
            "fax_number": "205-758-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 UNIVERSITY BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011141",
            "telephone_number": "205-758-2225",
            "fax_number": "205-758-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # ST BD OF CHIRO",
            "identifier": "1130",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.