Organization Active NPI

Moffett Road Chiropractic, P.C.

  • Chiropractor
  • Mobile, AL
National Provider Identifier
1609973619
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1846 Issued in AL
Legal business name
MOFFETT ROAD CHIROPRACTIC, P.C.
Practice address
5017 Moffett Rd
Mobile, AL 36618-2207
Phone
(251) 380-0308
Fax
(251) 380-0309
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Dr. Jessica Seematter Jones, D.C.
Title
President
Phone
(251) 380-0308

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1844 AL
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1846 AL Primary

Addresses

Primary practice location

5017 Moffett Rd
Mobile, AL 36618-2207

Mailing address

5017 Moffett Rd
Mobile, AL 36618-2207
Phone (251) 380-0308

Other identifiers 2

IdentifierTypeStateIssuer
51077800OtherALBCBS
51077801OtherALBCBS

National Provider Directory

National Provider Directory

Locations

5017 Moffett Rd
Mobile, AL 36618
Phone (251) 380-0308

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1609973619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 MOFFETT RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366182207",
            "telephone_number": "251-380-0308",
            "fax_number": "251-380-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 MOFFETT RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366182207",
            "telephone_number": "251-380-0308",
            "fax_number": "251-380-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOFFETT ROAD CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "SEEMATTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-380-0308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1844",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51077800",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51077801",
            "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 Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.