Organization Active NPI

Garrett Chiropractic Clinic

  • Chiropractor
  • Florence, AL
National Provider Identifier
1649327677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1431 Issued in AL
Legal business name
GARRETT CHIROPRACTIC CLINIC
Practice address
4021 Florence Boulevard
Florence, AL 35634-2645
Phone
(256) 757-0023
Fax
(256) 757-3200
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Howard Keith GarrettNPI 1629030028
Title
Chiropractor
Phone
(256) 757-0023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1431 AL Primary

Addresses

Primary practice location

4021 Florence Boulevard
Florence, AL 35634-2645

Mailing address

PO Box 969
Killen, AL 35645-0969
Phone (256) 757-0023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050429000753 AL Part B Supplier - Clinic/Group Practice 2668411588 Receives reassigned benefits from 3 practitioners
Practice locations: Florence, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2076398Garrett Chiropractic Clinic4021 Florence Blvd, Florence, AL 35634Certificate of waiverApr 16, 2028

National Provider Directory

National Provider Directory

Locations

4021 Florence Blvd
Florence, AL 35634
Phone (255) 675-7002

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649327677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356450969",
            "telephone_number": "256-757-0023",
            "fax_number": "256-757-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 FLORENCE BOULEVARD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356342645",
            "telephone_number": "256-757-0023",
            "fax_number": "256-757-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "256-757-0023",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.