Individual provider Active NPI

Diana Johnson Hudgins, D.C

  • Chiropractor
  • Boaz, AL
National Provider Identifier
1821170804
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1311 Issued in AL
Practice address
2030 US Hwy 431 N
Boaz, AL 35957
Phone
(256) 593-6158
Fax
(256) 593-6175
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1311 AL Primary

Addresses

Primary practice location

2030 US Hwy 431 N
Boaz, AL 35957

Mailing address

2030 US Hwy 431 N
Boaz, AL 35957
Phone (256) 593-6158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000459 AL Practitioner - Chiropractic 4284657610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2030 US Hwy 431
Boaz, AL 35957-5902
Phone (256) 593-6158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hudgins Family Chiropractic Chiropractor CurrentSince Jan 1, 1993 Accepting new patients
Delila Enterprises Dba Chiropractic First Chiropractor Past Accepting new patients

Locations

2030 US Highway 431
Boaz, AL 35957
Phone (256) 593-6158

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1821170804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 US HWY 431 N",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "35957",
            "telephone_number": "256-593-6158",
            "fax_number": "256-593-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 US HWY 431 N",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "35957",
            "telephone_number": "256-593-6158",
            "fax_number": "256-593-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGINS",
        "first_name": "DIANA",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.