Organization Active NPI

Cormier Chiropractic Center

  • Chiropractor
  • Mobile, AL
National Provider Identifier
1801918321
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1894 Issued in AL
Legal business name
CORMIER CHIROPRACTIC CENTER
Practice address
6300 Airport Blvd Ste C
Mobile, AL 36608-3158
Phone
(251) 343-9990
Fax
(251) 343-9181
NPI assigned
Apr 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cevin Cormier, D.C.NPI 1326100280
Title
Owner
Phone
(251) 343-9990

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
Chiropractor 111N00000X 1894 AL Primary

Addresses

Primary practice location

6300 Airport Blvd Ste C
Mobile, AL 36608-3158

Mailing address

6300 Airport Blvd Ste C
Mobile, AL 36608-3158
Phone (251) 343-9990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080528000303 AL Part B Supplier - Clinic/Group Practice 6305916719 Receives reassigned benefits from 1 practitioner
Practice locations: Mobile, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801918321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 AIRPORT BLVD STE C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083158",
            "telephone_number": "251-343-9990",
            "fax_number": "251-343-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 AIRPORT BLVD STE C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083158",
            "telephone_number": "251-343-9990",
            "fax_number": "251-343-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORMIER CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "CEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-343-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.