Organization Active NPI

Harrison Family Chiropractic Center, Inc.

  • Chiropractor
  • Fayette, AL
National Provider Identifier
1851571657
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1868 Issued in AL
Legal business name
HARRISON FAMILY CHIROPRACTIC CENTER, INC.
Practice address
324 3Rd St SE
Fayette, AL 35555-2936
Phone
(205) 932-7620
Fax
(205) 932-8742
NPI assigned
Nov 8, 2007
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Jeffrey Dean Harrison, D.C.NPI 1306820337
Title
V.P. / Physician
Phone
(205) 932-7620

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 1868 AL Primary

Addresses

Primary practice location

324 3Rd St SE
Fayette, AL 35555-2936

Mailing address

324 3Rd St SE
Fayette, AL 35555-2936
Phone (205) 932-7620

Other names 1

  • Knight Chiropractic Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930000810 AL Part B Supplier - Clinic/Group Practice 8921077488 Receives reassigned benefits from 1 practitioner
Practice locations: Fayette, AL

National Provider Directory

National Provider Directory

Locations

316 3rd St SE
Fayette, AL 35555
Phone (205) 921-2348

324 3rd St SE
Fayette, AL 35555
Phone (205) 932-7620

2151 Military St S
Hamilton, AL 35570
Phone (205) 921-2348

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": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1851571657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 3RD ST SE",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355552936",
            "telephone_number": "205-932-7620",
            "fax_number": "205-932-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 3RD ST SE",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355552936",
            "telephone_number": "205-932-7620",
            "fax_number": "205-932-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON FAMILY CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "V.P. / PHYSICIAN",
        "authorized_official_telephone_number": "205-932-7620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knight Chiropractic Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.