Organization Active NPI

Three Notch Chiropractic, PLLC

  • Chiropractor
  • Andalusia, AL
National Provider Identifier
1356597454
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2242 Issued in AL
Legal business name
THREE NOTCH CHIROPRACTIC, PLLC
Practice address
504 E Three Notch St
Andalusia, AL 36420-3128
Phone
(334) 352-4019
Fax
(334) 352-4019
NPI assigned
Aug 8, 2008
Last updated
Aug 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Dr. Charles Jonathan Raley IV, D.C.
Title
Owner
Phone
(334) 352-4019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2242 AL Primary

Addresses

Primary practice location

504 E Three Notch St
Andalusia, AL 36420-3128

Mailing address

PO Box 1093
Andalusia, AL 36420-1222
Phone (334) 352-4019

Other identifiers 1

IdentifierTypeStateIssuer
51548679OtherALBLUE CROSS BLUE SHIELD OF ALABAMA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2326470Three Notch Chiropractic, PLLC504 East Three Notch St, Andalusia, AL 36420Certificate of waiverJul 2, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1356597454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1093",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201222",
            "telephone_number": "334-352-4019",
            "fax_number": "334-352-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364203128",
            "telephone_number": "334-352-4019",
            "fax_number": "334-352-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE NOTCH CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "RALEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-352-4019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51548679",
            "state": "AL"
        }
    ],
    "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 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.