Organization Active NPI

Elite Wellness & Chiropractic

  • Chiropractor
  • Tuscaloosa, AL
National Provider Identifier
1659718013
Registry record updated May 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2305 Issued in AL
Legal business name
ELITE WELLNESS & CHIROPRACTIC
Practice address
1000 13TH St E
Ste D
Tuscaloosa, AL 35404-3809
Phone
(205) 409-8469
NPI assigned
May 25, 2013
Last updated
May 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2013

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

Authorized official

Name
Dr. Gregory R Dykes, DC
Title
Ceo
Phone
(205) 409-8469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2305 AL Primary

Addresses

Primary practice location

1000 13TH St E
Ste D
Tuscaloosa, AL 35404-3809

Mailing address

1000 13TH St E
Ste D
Tuscaloosa, AL 35404-3809
Phone (205) 409-8469

National Provider Directory

National Provider Directory

Locations

1000 13th St E
#D
Tuscaloosa, AL 35404
Phone (205) 409-8469

Practitioners & affiliated clinicians

Practitioners 1

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": "1369440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369440000000",
    "number": "1659718013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 13TH ST E",
            "address_2": "STE D",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354043809",
            "telephone_number": "205-409-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 13TH ST E",
            "address_2": "STE D",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354043809",
            "telephone_number": "205-409-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WELLNESS & CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-25",
        "last_updated": "2013-05-25",
        "status": "A",
        "authorized_official_last_name": "DYKES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-409-8469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2013; 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.