Organization Active NPI

Evergreen Family Chiropractic Clinic

  • Chiropractor
  • Huntsville, AL
National Provider Identifier
1780196030
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2519 Issued in AL
Legal business name
EVERGREEN FAMILY CHIROPRACTIC CLINIC
Practice address
7910 Memorial Pkwy SW Ste E
Huntsville, AL 35802-2260
Phone
(678) 392-6273
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Dr. Tonghee Kim, DCNPI 1417364035
Title
Doctor
Phone
(256) 937-6287

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 2519 AL Primary

Addresses

Primary practice location

7910 Memorial Pkwy SW Ste E
Huntsville, AL 35802-2260

Mailing address

7910 Memorial Pkwy SW Ste E
Huntsville, AL 35802-2260
Phone (678) 392-6273

Other names 1

  • EVERGREEN FAMILY CHIROPRACTIC ACUPUNCTURE CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

7910 Memorial Pkwy SW
Ste E
Huntsville, AL 35802
Phone (256) 937-6287

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": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1780196030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 MEMORIAL PKWY SW STE E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022260",
            "telephone_number": "678-392-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 MEMORIAL PKWY SW STE E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022260",
            "telephone_number": "678-392-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN FAMILY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TONGHEE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "256-937-6287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERGREEN FAMILY CHIROPRACTIC ACUPUNCTURE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.