NPIMap

Organization Active NPI

Osborn Chiropractic PC

  • Chiropractor
  • Decatur, AL
National Provider Identifier
1629236492
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1897 Issued in AL
Legal business name
OSBORN CHIROPRACTIC PC
Practice address
2605 Danville Road SW
Decatur, AL 35603
Phone
(256) 351-2110
Fax
(256) 351-2109
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Darryl Dion Osborn, DC
Title
President
Phone
(256) 351-2110

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1897 AL Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1965 AL

Addresses

Primary practice location

2605 Danville Road SW
Decatur, AL 35603

Mailing address

2605 Danville Road SW
Decatur, AL 35603
Phone (256) 351-2110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081124000511 AL Part B Supplier - Clinic/Group Practice 7012077886 Receives reassigned benefits from 2 practitioners
Practice locations: Decatur, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1629236492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 DANVILLE ROAD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35603",
            "telephone_number": "256-351-2110",
            "fax_number": "256-351-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 DANVILLE ROAD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35603",
            "telephone_number": "256-351-2110",
            "fax_number": "256-351-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "DION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-351-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1897",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.