Organization Active NPI

100 Chiro Birmingham

  • Chiropractor
  • Birmingham, AL
National Provider Identifier
1366219586
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
100 CHIRO BIRMINGHAM
Practice address
5361 Highway 280 Ste 102a
Birmingham, AL 35242-0310
Phone
(205) 441-5075
NPI assigned
Dec 7, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Cissy Lemoine
Title
Franchisee
Phone
(205) 441-5075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

5361 Highway 280 Ste 102a
Birmingham, AL 35242-0310

Mailing address

5361 Highway 280 Ste 102a
Birmingham, AL 35242-0310
Phone (205) 441-5075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426000572 AL Part B Supplier - Clinic/Group Practice 7810337680 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

5361 Highway 280
Ste 102A
Birmingham, AL 35242
Phone (205) 441-5075

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": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1366219586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5361 HIGHWAY 280 STE 102A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352420310",
            "telephone_number": "205-441-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 HIGHWAY 280 STE 102A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352420310",
            "telephone_number": "205-441-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO BIRMINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "LEMOINE",
        "authorized_official_first_name": "CISSY",
        "authorized_official_title_or_position": "FRANCHISEE",
        "authorized_official_telephone_number": "205-441-5075"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.