Active NPI
Matthew Kimbrell, DC
- Chiropractor
- Spanish Fort, AL
National Provider Identifier
1558704262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2376
- Practice address
- 10179 Eastern Shore Dr
Ste 102
Spanish Fort, AL 36527-3302 - Phone
- (205) 746-7183
- NPI assigned
- Apr 11, 2013
- Last updated
- Apr 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2376 | AL | Primary |
Addresses
Primary practice location
10179 Eastern Shore Dr
Ste 102
Spanish Fort, AL 36527-3302
Mailing address
10179 Eastern Shore Dr
Ste 102
Spanish Fort, AL 36527-3302
Phone (205) 746-7183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2376 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthsource Chiropractic of Spanish Fort LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Spanish Fort, AL
- NPI 1063962124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1558704262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10179 EASTERN SHORE DR",
"address_2": "STE 102",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365273302",
"telephone_number": "205-746-7183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10179 EASTERN SHORE DR",
"address_2": "STE 102",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365273302",
"telephone_number": "205-746-7183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBRELL",
"first_name": "MATTHEW",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spanish Fort, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.