Selma Dallas Prevention Collaborative

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SELMA DALLAS PREVENTION COLLABORATIVE

Practice address

1 Bell Rd
Selma, AL 36701-6703

Phone

(334) 526-2500

Fax

(334) 526-2502

NPI assigned

May 15, 2013

Last updated

May 15, 2013By 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

Mr. Coley C. Chestnut Sr., MS, MMIN

Title

Director

Phone

(334) 526-2500

Specialties & licenses 1

Addresses

Other names 1

• SDPC Other name

Locations

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1740626928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "address_2": "1 BELL ROAD",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367020525",
            "telephone_number": "334-526-2500",
            "fax_number": "334-526-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BELL RD",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016703",
            "telephone_number": "334-526-2500",
            "fax_number": "334-526-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA DALLAS PREVENTION COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "CHESTNUT",
        "authorized_official_first_name": "COLEY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "334-526-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MS, MMIN"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SDPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Lynn Schwartz, DPT
• Todd Brannon Seales, PHARM. D.
• Chris J Searcy, MD
• Adam Louis Seele
• Selma City
• Selma Doctors Clinic PC
• Selma Doctors Clinic, PC
• Selma Eye Associates, Inc
• Selma Family Care PC
• Selma Family Practice Optometry, Inc. (Eyemax Vision Center)

• Early Intervention Provider Agency in Selma, AL
• Providers in Selma, AL by specialty
• Early Intervention Provider Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.