Organization Active NPI

Daphne Chiropractic Center,LLC

  • Chiropractor
  • Daphne, AL
National Provider Identifier
1760546980
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1445 Issued in AL
Legal business name
DAPHNE CHIROPRACTIC CENTER,LLC
Practice address
9113 Merritt LN
Daphne, AL 36526-5609
Phone
(251) 626-1234
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Dr. Melvin Arden Mashner, D.C.NPI 1194889303
Title
Owner
Phone
(251) 626-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1445 AL Primary

Addresses

Primary practice location

9113 Merritt LN
Daphne, AL 36526-5609

Mailing address

9113 Merritt LN
Daphne, AL 36526-5609
Phone (251) 626-1234

Other identifiers 1

IdentifierTypeStateIssuer
51507924OtherALBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110113000725 AL Part B Supplier - Clinic/Group Practice 0749479269 Receives reassigned benefits from 1 practitioner
Practice locations: Daphne, AL

National Provider Directory

National Provider Directory

Locations

9113 Merritt Ln
Daphne, AL 36526
Phone (251) 626-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1760546980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 MERRITT LN",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365265609",
            "telephone_number": "251-626-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9113 MERRITT LN",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365265609",
            "telephone_number": "251-626-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAPHNE CHIROPRACTIC CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "MASHNER",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "ARDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-626-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "51507924",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.