NPIMap

Organization Active NPI

Complete Vitality

  • Chiropractor
  • Saraland, AL
National Provider Identifier
1417833765
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COMPLETE VITALITY
Practice address
201 Celeste Road
Saraland, AL 36571
Phone
(205) 561-6010
Fax
(855) 975-3042
NPI assigned
Aug 13, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Brent A Tidwell, DC
Title
Managing Partner
Phone
(205) 752-7503

National Provider Directory

National Provider Directory
Tax ID family
Complete Vitality LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

201 Celeste Road
Saraland, AL 36571

Mailing address

819 Mimosa Park Road
Ste D
Tuscaloosa, AL 35405
Phone (205) 561-6010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2025.

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1417833765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 MIMOSA PARK ROAD",
            "address_2": "STE D",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35405",
            "telephone_number": "205-561-6010",
            "fax_number": "855-975-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CELESTE ROAD",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "36571",
            "telephone_number": "205-561-6010",
            "fax_number": "855-975-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE VITALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "205-752-7503",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saraland, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.