Active NPI
Regenerative Medicine of Alabama
- Multi-Specialty Clinic/Center
- Dothan, AL
National Provider Identifier
1831740489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- REGENERATIVE MEDICINE OF ALABAMA
- Practice address
- 2500 Flowers Chapel Rd
Dothan, AL 36305-8300 - Phone
- (334) 996-4299
- Fax
- (334) 792-0210
- NPI assigned
- Sep 25, 2019
- 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
- Kirk Eriksen, DC
- Title
- President
- Phone
- (334) 699-4299
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
2500 Flowers Chapel Rd
Dothan, AL 36305-8300
Mailing address
2500 Flowers Chapel Rd
Dothan, AL 36305-8300
Phone (334) 996-4299
Other names 1
- Regenerative Medicine of Alabama and Eriksen Chiropractic Laser Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191217002393 | AL | Part B Supplier - Clinic/Group Practice | 1456785831 |
Receives reassigned benefits from 4 practitioners Practice locations: Dothan, AL |
National Provider Directory
National Provider DirectoryLocations
2500 Flowers Chapel Rd
Dothan, AL 36305
Phone (334) 699-4299
Practitioners & affiliated clinicians
Practitioners 4
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": "1569369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569369600000",
"number": "1831740489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 FLOWERS CHAPEL RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363058300",
"telephone_number": "334-996-4299",
"fax_number": "334-792-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 FLOWERS CHAPEL RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363058300",
"telephone_number": "334-996-4299",
"fax_number": "334-792-0210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENERATIVE MEDICINE OF ALABAMA",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A",
"authorized_official_last_name": "ERIKSEN",
"authorized_official_first_name": "KIRK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-699-4299",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Regenerative Medicine of Alabama and Eriksen Chiropractic Laser Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.