Organization Active NPI

D'Olive Bay Family Chiropractic P.C.

  • Chiropractor
  • Daphne, AL
National Provider Identifier
1326480138
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2380 Issued in AL
Legal business name
D'OLIVE BAY FAMILY CHIROPRACTIC P.C.
Practice address
28080 US Highway 98
Suite D
Daphne, AL 36526-7005
Phone
(251) 621-0341
Fax
(251) 621-0340
NPI assigned
Jul 22, 2013
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Steven Donald Wetzonis, D.C.NPI 1508023201
Title
Owner
Phone
(251) 621-0341

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 2380 AL Primary

Addresses

Primary practice location

28080 US Highway 98
Suite D
Daphne, AL 36526-7005

Mailing address

28080 US Highway 98
Suite D
Daphne, AL 36526-7005
Phone (251) 621-0341

Other identifiers 1

IdentifierTypeStateIssuer
2508023201OtherALINDIVISUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140204000772 AL Part B Supplier - Clinic/Group Practice 5799914230 Receives reassigned benefits from 1 practitioner
Practice locations: Daphne, AL

National Provider Directory

National Provider Directory

Locations

28080 US Highway 98
Ste D
Daphne, AL 36526
Phone (251) 621-0341

Practitioners & affiliated clinicians

Practitioners 1

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": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1326480138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28080 US HIGHWAY 98",
            "address_2": "SUITE D",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267005",
            "telephone_number": "251-621-0341",
            "fax_number": "251-621-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28080 US HIGHWAY 98",
            "address_2": "SUITE D",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267005",
            "telephone_number": "251-621-0341",
            "fax_number": "251-621-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D'OLIVE BAY FAMILY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "WETZONIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-621-0341",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVISUAL NPI",
            "identifier": "2508023201",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.