NPIMap

Organization Active NPI

Carl Edward Nelson Estate

  • Chiropractor
  • Andalusia, AL
National Provider Identifier
1356547582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A0024 Issued in AL
Legal business name
CARL EDWARD NELSON ESTATE
Practice address
947 South Three Notch St
Andalusia, AL 36420
Phone
(334) 222-6440
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Victoria Nelson
Title
Owner
Phone
(334) 222-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A0024 AL Primary

Addresses

Primary practice location

947 South Three Notch St
Andalusia, AL 36420

Mailing address

PO Box 1382
Andalusia, AL 36420-1224

National Provider Directory

National Provider Directory

Locations

947 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-3222

Practitioners & affiliated clinicians

Practitioners 2

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356547582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1382",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 SOUTH THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "36420",
            "telephone_number": "334-222-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL EDWARD NELSON ESTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-222-6440"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "A0024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.