NPIMap

Organization Active NPI

Seaside Chiropractic and Wellness LLC

  • Chiropractor
  • Daphne, AL
National Provider Identifier
1467825935
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2469 Issued in AL
Legal business name
SEASIDE CHIROPRACTIC AND WELLNESS LLC
Practice address
28150 N Main St Ste a
Daphne, AL 36526-7038
Phone
(251) 621-9010
Fax
(251) 621-9011
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Dr. Jerry Dwayne Nashman, D.C.
Title
President/Owner
Phone
(251) 621-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2469 AL Primary

Addresses

Primary practice location

28150 N Main St Ste a
Daphne, AL 36526-7038

Mailing address

28150 N Main St Ste a
Daphne, AL 36526-7038
Phone (251) 621-9010

National Provider Directory

National Provider Directory

Locations

28150 N Main St
#A
Daphne, AL 36526
Phone (251) 621-9010

Practitioners & affiliated clinicians

Practitioners 2

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": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1467825935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28150 N MAIN ST STE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267038",
            "telephone_number": "251-621-9010",
            "fax_number": "251-621-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28150 N MAIN ST STE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267038",
            "telephone_number": "251-621-9010",
            "fax_number": "251-621-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "NASHMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "251-621-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.