Individual provider Active NPI

Douglas Owens Pitt, D.C.

  • Chiropractor
  • Auburn, AL
National Provider Identifier
1487868667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1848 Issued in AL
Practice address
764 E Glenn Ave
Auburn, AL 36830-5017
Phone
(334) 501-4691
Fax
(334) 501-4693
NPI assigned
May 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1848 AL Primary

Addresses

Primary practice location

764 E Glenn Ave
Auburn, AL 36830-5017

Mailing address

764 E Glenn Ave
Auburn, AL 36830-5017
Phone (334) 501-4691

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000454 AL Practitioner - Chiropractic 4486816907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

861 N Dean Rd
Suite a
Auburn, AL 36830-9421
Phone (334) 501-4691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1848ALMDChiropractor
1898ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Chiropractic Health Clinic, Inc Chiropractor CurrentSince Jan 21, 2000 Accepting new patients
Lafayette Chiropractic Chiropractor Past Accepting new patients

Locations

861 N Dean Rd
Ste A
Auburn, AL 36830
Phone (334) 501-4691

764 E Glenn Ave
Auburn, AL 36830
Phone (334) 329-6268

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487868667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 E GLENN AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305017",
            "telephone_number": "334-501-4691",
            "fax_number": "334-501-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 E GLENN AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305017",
            "telephone_number": "334-501-4691",
            "fax_number": "334-501-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITT",
        "first_name": "DOUGLAS",
        "middle_name": "OWENS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.