Individual provider Active NPI

Daniel Fowler, D.C.

  • Chiropractor
  • Tuscaloosa, AL
National Provider Identifier
1407211600
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2477 Issued in AL
Practice address
2302 McFarland Blvd E
Tuscaloosa, AL 35404-5802
Phone
(205) 345-2009
Fax
(205) 345-2039
NPI assigned
Dec 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2477 AL Primary

Addresses

Primary practice location

2302 McFarland Blvd E
Tuscaloosa, AL 35404-5802

Mailing address

2302 McFarland Blvd E
Tuscaloosa, AL 35404-5802
Phone (205) 345-2009

Other practice location 1

814 2nd St
Muscle Shoals, AL 35661-1666
Phone (256) 381-2504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180221002277 AL Practitioner - Chiropractic 8921369695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2302 McFarland Blvd E
Tuscaloosa, AL 35404-5802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crimson Chiropractic Corporation CurrentSince Jun 23, 2024 Accepting new patients
Plaxco Chiropractic Associates LLC Chiropractor Past Accepting new patients

Locations

2302 McFarland Blvd E
Tuscaloosa, AL 35404
Phone (205) 345-2009

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1407211600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 MCFARLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045802",
            "telephone_number": "205-345-2009",
            "fax_number": "205-345-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 MCFARLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045802",
            "telephone_number": "205-345-2009",
            "fax_number": "205-345-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 2nd St",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356611666",
            "country_code": "US",
            "telephone_number": "256-381-2504",
            "fax_number": "256-383-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-15",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.