Organization Active NPI

Protz Chiropractic Wellness Clinic, LLC

  • Chiropractor
  • Sardis City, AL
National Provider Identifier
1821419318
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1632 Issued in AL
Legal business name
PROTZ CHIROPRACTIC WELLNESS CLINIC, LLC
Practice address
12815 US Highway 431
Sardis City, AL 35956-2046
Phone
(256) 593-3551
Fax
(256) 593-4603
NPI assigned
Dec 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Dr. Paul Andrew Protz Jr., D.C.NPI 1750436325
Title
Owner/Doctor
Phone
(256) 593-3551

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 1632 AL Primary

Addresses

Primary practice location

12815 US Highway 431
Sardis City, AL 35956-2046

Mailing address

12815 US Highway 431
Sardis City, AL 35956-2046
Phone (256) 593-3551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140606000851 AL Part B Supplier - Clinic/Group Practice 3173747490 Receives reassigned benefits from 1 practitioner
Practice locations: Sardis City, AL

National Provider Directory

National Provider Directory

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": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1821419318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12815 US HIGHWAY 431",
            "city": "SARDIS CITY",
            "state": "AL",
            "postal_code": "359562046",
            "telephone_number": "256-593-3551",
            "fax_number": "256-593-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12815 US HIGHWAY 431",
            "city": "SARDIS CITY",
            "state": "AL",
            "postal_code": "359562046",
            "telephone_number": "256-593-3551",
            "fax_number": "256-593-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTZ CHIROPRACTIC WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "PROTZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "256-593-3551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sardis City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.