Associated Chiropractic Clinic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1820 Issued in AL

Legal business name

ASSOCIATED CHIROPRACTIC CLINIC, INC

Practice address

80 Spring Branch Rd
Suite E
Alexandria, AL 36250-7311

Phone

(256) 847-8477

Fax

(256) 847-8475

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa S Wade

Title

President

Phone

(256) 847-8477

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Keith D Cornelius, DC

  • Chiropractor
  • Anniston, AL
  • NPI 1275532061
  NPD (past)
• David Edward Wade, DC, MD

  • Sports Physician Chiropractor
  • Oxford, AL
  • NPI 1194724989
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1760682322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SPRING BRANCH RD",
            "address_2": "SUITE E",
            "city": "ALEXANDRIA",
            "state": "AL",
            "postal_code": "362507311",
            "telephone_number": "256-847-8477",
            "fax_number": "256-847-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SPRING BRANCH RD",
            "address_2": "SUITE E",
            "city": "ALEXANDRIA",
            "state": "AL",
            "postal_code": "362507311",
            "telephone_number": "256-847-8477",
            "fax_number": "256-847-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-847-8477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275532061",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Dental LLC
• William Timothy Bowden
• Sumuthra Bowers, MS, EDS, LPC
• Ahmad Carmichael
• Claxton Group LLC
• Comforting Times, LLC (Comfort Keepers)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.