Organization Active NPI

Rose Chiropractic Inc.

  • Chiropractor
  • Montgomery, AL
National Provider Identifier
1851589907
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2094 Issued in AL
Legal business name
ROSE CHIROPRACTIC INC.
Practice address
2941 Zelda Rd Ste B
Montgomery, AL 36106-2699
Phone
(334) 264-7948
Fax
(334) 264-8616
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Timothy D Rose, D.C.NPI 1033268479
Title
President
Phone
(334) 264-7948

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 2094 AL Primary

Addresses

Primary practice location

2941 Zelda Rd Ste B
Montgomery, AL 36106-2699

Mailing address

PO Box 230427
Montgomery, AL 36123-0427
Phone (334) 264-7948

Other practice location 1

202 Church St
Greenville, AL 36037-2606
Phone (334) 382-6343

Other identifiers 2

IdentifierTypeStateIssuer
510-01480OtherALBCBS
K375OtherMEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050502000848 AL Part B Supplier - Clinic/Group Practice 9436198181 Receives reassigned benefits from 2 practitioners
Practice locations: Greenville, AL; Montgomery, AL

National Provider Directory

National Provider Directory

Locations

1006 S Court St
Montgomery, AL 36104
Phone (334) 264-7948

2941 Zelda Rd
Ste B
Montgomery, AL 36106
Phone (334) 264-7948

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": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1851589907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230427",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361230427",
            "telephone_number": "334-264-7948",
            "fax_number": "334-264-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 ZELDA RD STE B",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062699",
            "telephone_number": "334-264-7948",
            "fax_number": "334-264-8616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Church St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "AL",
            "postal_code": "360372606",
            "country_code": "US",
            "telephone_number": "334-382-6343",
            "fax_number": "334-382-7907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-264-7948",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-01480",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.