Marty T. Hatala, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1874 Issued in AL

Practice address

419 US Highway 431
Boaz, AL 35957-2183

Phone

(256) 840-5558

Fax

(256) 298-5085

NPI assigned

Oct 11, 2006

Last updated

Mar 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boaz Chiropractic

  dba Chiropractic

  • Chiropractor
  • Boaz, AL
  • NPI 1023745882
  NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1669561601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572183",
            "telephone_number": "256-840-5558",
            "fax_number": "256-298-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572183",
            "telephone_number": "256-840-5558",
            "fax_number": "256-298-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATALA",
        "first_name": "MARTY",
        "middle_name": "T.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1874",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1874",
            "affiliation": "N",
            "endpointDescription": "License",
            "address_1": "3520 US Highway 431 Ste 200",
            "city": "Albertville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359500081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Boaz, AL
• Providers in Boaz, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.