NPIMap

Organization Active NPI

Dr. Paula Gilliam Chiropractic Clinic, Inc.

  • Chiropractor
  • Huntsville, AL
National Provider Identifier
1497818496
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0961 Issued in AL
Legal business name
DR. PAULA GILLIAM CHIROPRACTIC CLINIC, INC.
Practice address
1900 Sparkman Dr NW # a
Huntsville, AL 35816-1124
Phone
(256) 430-0021
Fax
(256) 830-1364
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Dr. Paula Dean Gilliam, D.C.
Title
President
Phone
(256) 430-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0961 AL Primary

Addresses

Primary practice location

1900 Sparkman Dr NW # a
Huntsville, AL 35816-1124

Mailing address

1900 Sparkman Dr NW #a
Huntsville, AL 35816
Phone (256) 430-0021

Other identifiers 1

IdentifierTypeStateIssuer
510-70500OtherALBLUE CROSS

National Provider Directory

National Provider Directory

Locations

1900 Sparkman Dr NW
Ste A
Huntsville, AL 35816
Phone (256) 430-0021

1900 Sparkman Dr NW
#A
Huntsville, AL 35816
Phone (256) 430-0021

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1497818496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SPARKMAN DR NW #A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35816",
            "telephone_number": "256-430-0021",
            "fax_number": "256-830-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SPARKMAN DR NW # A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161124",
            "telephone_number": "256-430-0021",
            "fax_number": "256-830-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAULA GILLIAM CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-430-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "0961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "510-70500",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.