Organization Active NPI

Port City Family Chiropractic

  • Chiropractor
  • Mobile, AL
National Provider Identifier
1598152118
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2434 Issued in AL
Legal business name
PORT CITY FAMILY CHIROPRACTIC
Practice address
6345 Cottage Hill Rd
Suite D
Mobile, AL 36695
Phone
(239) 297-5106
NPI assigned
Apr 21, 2015
Last updated
Apr 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Samantha Chirichella, DCNPI 1548655632
Title
Chiropractor
Phone
(239) 297-5106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2434 AL Primary

Addresses

Primary practice location

6345 Cottage Hill Rd
Suite D
Mobile, AL 36695

Mailing address

6345 Cottage Hill Rd
Suite D
Mobile, AL 36695
Phone (239) 297-5106

Other identifiers 1

IdentifierTypeStateIssuer
1548655632OtherALNPI-INDIVIDUAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150602002005 AL Part B Supplier - Clinic/Group Practice 9133440100 Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

6345 Cottage Hill Rd
Unit D
Mobile, AL 36609
Phone (239) 297-5106

Practitioners & affiliated clinicians

Practitioners 2

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": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1598152118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 COTTAGE HILL RD",
            "address_2": "SUITE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "239-297-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 COTTAGE HILL RD",
            "address_2": "SUITE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "239-297-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "CHIRICHELLA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "239-297-5106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDIVIDUAL",
            "identifier": "1548655632",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.