John Samuel Irwin IV, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1994 Issued in AL

Practice address

104 Popwell Avenue
Clanton, AL 35045-2324

Phone

(205) 755-4430

Fax

(205) 755-4472

NPI assigned

Sep 27, 2006

Last updated

Jul 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• John S. Irwin, D.C., P.C.

  dba Irwin Family Chiropractic Clinic

  • Chiropractor
  • Clanton, AL
  • NPI 1528245362
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1598856072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 POPWELL AVE",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452324",
            "telephone_number": "205-755-4430",
            "fax_number": "205-755-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 POPWELL AVENUE",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452324",
            "telephone_number": "205-755-4430",
            "fax_number": "205-755-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "JOHN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Clanton, AL
• Providers in Clanton, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.