Organization Active NPI

Chiropractic Connection

  • Chiropractor
  • Gulf Shores, AL
National Provider Identifier
1528437464
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2362 Issued in AL
Legal business name
CHIROPRACTIC CONNECTION
Practice address
3947 Gulf Shores Pkwy
Suite 130
Gulf Shores, AL 36542-2735
Phone
(251) 943-5600
Fax
(251) 943-1003
NPI assigned
Sep 22, 2015
Last updated
Feb 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Dr. Nicole Elizabeth Ward, D.C.NPI 1972878569
Title
Owner
Phone
(251) 228-0661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2362 AL Primary

Addresses

Primary practice location

3947 Gulf Shores Pkwy
Suite 130
Gulf Shores, AL 36542-2735

Mailing address

3947 Gulf Shores Pkwy
Suite 130
Gulf Shores, AL 36542-2735
Phone (251) 943-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160216001493 AL Part B Supplier - Clinic/Group Practice 2961707773 Receives reassigned benefits from 3 practitioners
Practice locations: Gulf Shores, AL

National Provider Directory

National Provider Directory

Locations

3947 Gulf Shores Pkwy
Ste 130
Gulf Shores, AL 36542
Phone (251) 943-5600

3947 Gulf Shores Pkwy
Ste 280
Gulf Shores, AL 36542
Phone (251) 943-5600

Practitioners & affiliated clinicians

Practitioners 3

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": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1528437464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 GULF SHORES PKWY",
            "address_2": "SUITE 130",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422735",
            "telephone_number": "251-943-5600",
            "fax_number": "251-943-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 GULF SHORES PKWY",
            "address_2": "SUITE 130",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422735",
            "telephone_number": "251-943-5600",
            "fax_number": "251-943-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-228-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.