Ardmore Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1882 Issued in AL

Legal business name

ARDMORE CHIROPRACTIC INC.

Practice address

29825 Ardmore Ave
Ardmore, AL 35739

Phone

(256) 423-2445

Fax

(256) 423-6017

NPI assigned

Jul 9, 2012

Last updated

Nov 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Ray Besherse, D.C.NPI 1154454197

Title

President

Phone

(256) 423-2445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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.

• Jeffrey Ray Besherse, DC

  • Chiropractor
  • Ardmore, AL
  • NPI 1154454197
  Medicare reassignment NPD Authorized official
• Melissa Dawn Ward, CRNP

  • Family Nurse Practitioner
  • Athens, AL
  • NPI 1851373344
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1609131432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29825 ARDMORE AVE.",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "35739",
            "telephone_number": "256-423-2445",
            "fax_number": "256-423-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29825 ARDMORE AVE",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "35739",
            "telephone_number": "256-423-2445",
            "fax_number": "256-423-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDMORE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "BESHERSE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-423-2445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Hogan Allen, PHARM D
• Jeffrey Ray Besherse, DC
• Ashley Bowen
• Claude Schofield Bridges III, MD
• Courtney Laura Campbell, FNP-C
• Glynn Edward Cannon, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.