Coastal Chiropractic L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2412 Issued in AL

Legal business name

COASTAL CHIROPRACTIC L.L.C.

Practice address

27535 US Highway 98
Daphne, AL 36526-4839

Phone

(251) 375-0131

Fax

(251) 375-0132

NPI assigned

Oct 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Patrick Nobles, D.C.NPI 1194066613

Title

Owner

Phone

(251) 375-0131

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Tax ID family

Coastal Chiropractic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Coastal Chiropractic L.L.C.

  • Chiropractor
  • Foley, AL
  • NPI 1063305118
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Coastal Chiropractic L.L.C.

  • Chiropractor
  • Foley, AL
  • NPI 1063305118
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Nobles, DC

  • Chiropractor
  • Daphne, AL
  • NPI 1194066613
  Medicare reassignment NPD Authorized official
• Elizabeth Ann Johnson, D.C.

  • Chiropractor
  • Athens, GA
  • NPI 1093198913
  NPD (past)

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1467889261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27535 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264839",
            "telephone_number": "251-375-0131",
            "fax_number": "251-375-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27535 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264839",
            "telephone_number": "251-375-0131",
            "fax_number": "251-375-0132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6483 Van Buren St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365267573",
            "country_code": "US",
            "telephone_number": "251-375-0131",
            "fax_number": "251-375-0132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "NOBLES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-375-0131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51141426",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher M. Donald DMD, Inc
• Blake Alexander Cicheskie, PHARM. D.
• Anita Clark, RN
• Kaysha Little Clark, LPC-S
• Clears Clinic Corporation
• Coastal Counseling & Consulting, LLC
• Coastal Counseling and Consulting, LLC
• Coastal Foot Center LLC
• Coastal Psychiatry, LLC
• Coastal Therapeutics, Inc

• Chiropractor in Daphne, AL
• Providers in Daphne, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.