Organization Active NPI

Associated Chiropractic LLC

  • Chiropractor
  • Moulton, AL
National Provider Identifier
1457545329
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
730 Issued in AL
Legal business name
ASSOCIATED CHIROPRACTIC LLC
Practice address
940 East St
Moulton, AL 35650-1212
Phone
(256) 974-7778
Fax
(256) 974-7792
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Mr. Shan Jeffreys
Title
Manager
Phone
(256) 974-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 730 AL Primary

Addresses

Primary practice location

940 East St
Moulton, AL 35650-1212

Mailing address

940 East St
Moulton, AL 35650-1212
Phone (256) 974-7778

National Provider Directory

National Provider Directory

Locations

940 East St
#B
Moulton, AL 35650
Phone (256) 974-7778

940 East St
Moulton, AL 35650
Phone (256) 974-7778

12461 AL Highway 157
Moulton, AL 35650
Phone (256) 444-6210

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1457545329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 EAST ST",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501212",
            "telephone_number": "256-974-7778",
            "fax_number": "256-974-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 EAST ST",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501212",
            "telephone_number": "256-974-7778",
            "fax_number": "256-974-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "JEFFREYS",
        "authorized_official_first_name": "SHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "256-974-7778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moulton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.