Montgomery Neck and Back Pain Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1611 Issued in AL

Legal business name

MONTGOMERY NECK AND BACK PAIN CENTER

Practice address

4171 Lomac St
Suite a
Montgomery, AL 36106-2945

Phone

(334) 272-3030

Fax

(334) 272-9912

NPI assigned

May 7, 2012

Last updated

Jul 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Daniel Hogan III, DC

Title

President

Phone

(334) 272-3030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1699034090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 LOMAC ST",
            "address_2": "SUITE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062945",
            "telephone_number": "334-272-3030",
            "fax_number": "334-272-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 LOMAC ST",
            "address_2": "SUITE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062945",
            "telephone_number": "334-272-3030",
            "fax_number": "334-272-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY NECK AND BACK PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-272-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Montgomery Open MRI, LLC
• Montgomery Optical Center Inc. (2020 Optical Shoppe)
• Montgomery Optometric Clinic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.