Active NPI
Three Notch Chiropractic, PLLC
- Chiropractor
- Andalusia, AL
National Provider Identifier
1356597454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2242
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51548679 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2326470 | Three Notch Chiropractic, PLLC | Certificate of waiver | Jul 2, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.