Active NPI
Gardendale Chiropractic Center
- Chiropractor
- Gardendale, AL
National Provider Identifier
1780752287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1213
- Legal business name
- GARDENDALE CHIROPRACTIC CENTER
- Practice address
- 1080 Main Street
Gardendale, AL 35071-1111 - Phone
- (205) 631-2433
- Fax
- (205) 631-9124
- NPI assigned
- Dec 1, 2006
- Last updated
- Mar 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Lee
- Title
- Authorized Official
- Phone
- (205) 631-2433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1213 | AL | Primary |
Addresses
Primary practice location
1080 Main Street
Gardendale, AL 35071-1111
Mailing address
PO Box 1111
Gardendale, AL 35071-1111
Phone (205) 631-2433
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 512-66664 | Other | AL | BCBS AL |
| 512-66179 | Other | AL | BCBS AL |
| 512-66238 | Other | AL | BCBS AL |
| 115282 | Medicaid | AL |
Other names 1
- Gardendale Chiropractic Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Gardendale | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Chiropractic Oasis of Gardendale LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Gardendale, AL
- NPI 1689331423
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Gardendale, AL
- NPI 1821899600
-
- Chiropractor
- Cullman, AL
- NPI 1336247329
-
- Chiropractor
- Gretna, LA
- NPI 1528500691
-
- Chiropractor
- Fuquay Varina, NC
- NPI 1841858206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646092800000",
"number": "1780752287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1111",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350711111",
"telephone_number": "205-631-2433",
"fax_number": "205-631-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 MAIN STREET",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350711111",
"telephone_number": "205-631-2433",
"fax_number": "205-631-9124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDENDALE CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "205-631-2433"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AL",
"license": "1213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AL",
"identifier": "512-66664",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AL",
"identifier": "512-66179",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AL",
"identifier": "512-66238",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115282",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Gardendale",
"affiliation": "N",
"endpointDescription": "physical location",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"useOtherDescription": "Gardendale",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Gardendale",
"address_1": "1080 Main Street",
"city": "Gardendale",
"state": "AL",
"country_code": "US",
"postal_code": "350711111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Gardendale Chiropractic Center",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Gardendale Chiropractic Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Gardendale, AL
- Fresnius Medical Care Comprehensive CKD Services Inc (CKD Services of Gardendale)
- Gina Marie Fuller, ATC
- Jazlyn Fuller, RBT
- Katherine Drake Gamble, PT, DPT
- Keri Gamblin, COTA/L
- Gardendale Dental
- Gardendale Family Dentistry
- Gardendale Health Mart Pharmacy LLC (Mills Pharmacy at Gardendale)
- Gardendale Medical Center
- Gardendale Oral Surgery, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.