Organization Active NPI

Lightfoot Chiropractic Clinic, LLC

  • Chiropractor
  • Selma, AL
National Provider Identifier
1649784430
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A0099 Issued in AL
Legal business name
LIGHTFOOT CHIROPRACTIC CLINIC, LLC
Practice address
2117 Broad Street
Selma, AL 36701
Phone
(334) 875-7163
Fax
(334) 875-7138
NPI assigned
Dec 1, 2017
Last updated
Dec 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Mrs. Susan D Lightfoot, CLINIC OWNER
Title
Owner
Phone
(334) 875-7163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A0099 AL Primary

Addresses

Primary practice location

2117 Broad Street
Selma, AL 36701

Mailing address

2117 Broad Street
Selma, AL 36701
Phone (334) 875-7163

National Provider Directory

National Provider Directory

Locations

2117 Broad St
Selma, AL 36701
Phone (334) 801-9952

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1649784430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 BROAD STREET",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "36701",
            "telephone_number": "334-875-7163",
            "fax_number": "334-875-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 BROAD STREET",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "36701",
            "telephone_number": "334-875-7163",
            "fax_number": "334-875-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTFOOT CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-875-7163",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CLINIC OWNER"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "A0099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.