Organization Active NPI

Back Pain Relief Chiropractic LLC

  • Chiropractor
  • Huntsville, AL
National Provider Identifier
1629524079
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2497 Issued in AL
Legal business name
BACK PAIN RELIEF CHIROPRACTIC LLC
Practice address
2400 Bob Wallace Ave SW Ste 204
Huntsville, AL 35805-4775
Phone
(256) 698-9464
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Chad E Mathey, D.C.
Title
Owner/Provider
Phone
(256) 698-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2497 AL Primary

Addresses

Primary practice location

2400 Bob Wallace Ave SW Ste 204
Huntsville, AL 35805-4775

Mailing address

2400 Bob Wallace Ave SW Ste 204
Huntsville, AL 35805-4775
Phone (256) 698-9464

National Provider Directory

National Provider Directory

Locations

2400 Bob Wallace Ave SW
Ste 204
Huntsville, AL 35805
Phone (256) 698-9464

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1629524079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BOB WALLACE AVE SW STE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054775",
            "telephone_number": "256-698-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BOB WALLACE AVE SW STE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054775",
            "telephone_number": "256-698-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK PAIN RELIEF CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "MATHEY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "256-698-9464",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.