Organization Active NPI

Dodd Chiropractic

  • Chiropractor
  • Cullman, AL
National Provider Identifier
1457428799
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9467 Issued in AL
Legal business name
DODD CHIROPRACTIC
Practice address
525 Main Ave SW
Cullman, AL 35055-4700
Phone
(256) 734-7315
Fax
(256) 739-4390
NPI assigned
Nov 30, 2006
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Mrs. Leah J Shipp
Title
Office Manager
Phone
(256) 734-7315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9467 AL Primary

Addresses

Primary practice location

525 Main Ave SW
Cullman, AL 35055-4700

Mailing address

525 Main Ave SW
Cullman, AL 35055-4700
Phone (256) 734-7315

Other identifiers 4

IdentifierTypeStateIssuer
051070021OtherALPROVIDER NUMBER
051506982OtherALPROVIDER NUMBER
1366536310OtherALNPI
1639262355OtherALNPI

Other names 1

  • Tuggle Chiropractic Clinic P.A. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000603 AL Part B Supplier - Clinic/Group Practice 2860461761 Receives reassigned benefits from 1 practitioner
Practice locations: Cullman, AL

National Provider Directory

National Provider Directory

Locations

525 Main Ave SW
Cullman, AL 35055
Phone (256) 734-7315

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1457428799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350554700",
            "telephone_number": "256-734-7315",
            "fax_number": "256-739-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350554700",
            "telephone_number": "256-734-7315",
            "fax_number": "256-739-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "SHIPP",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-734-7315",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "9467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "051070021",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "051506982",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366536310",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639262355",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuggle Chiropractic Clinic P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.