NPIMap

Organization Active NPI

Dailey Chiropractic Wellness Center

  • Chiropractor
  • Springville, AL
National Provider Identifier
1861576191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1785 Issued in AL
Legal business name
DAILEY CHIROPRACTIC WELLNESS CENTER
Practice address
6310 US Highway 11
Springville, AL 35146-4063
Phone
(205) 467-2500
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Edward Dailey, DCNPI 1770688780
Title
President
Phone
(205) 467-2500

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 1785 AL Primary

Addresses

Primary practice location

6310 US Highway 11
Springville, AL 35146-4063

Mailing address

PO Box 236
Springville, AL 35146-0236
Phone (205) 467-2500

Other identifiers 6

IdentifierTypeStateIssuer
U71589OtherALVIVA
PR8534884000OtherALCIGNA
51517445OtherALBLUE CROSS
0005598598OtherALAETNA
0902AOtherALBENESIGHT
4410086OtherALUNITED HEALTH CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080911000514 AL Part B Supplier - Clinic/Group Practice 6608942842 Receives reassigned benefits from 1 practitioner
Practice locations: Oneonta, AL

National Provider Directory

National Provider Directory

Locations

1901 2nd Ave E
#B
Oneonta, AL 35121
Phone (205) 625-3488

1901B 2nd Ave E
Ste B
Oneonta, AL 35121

6310 US Highway 11
Springville, AL 35146
Phone (205) 467-2500

Practitioners & affiliated clinicians

Practitioners 3

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861576191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351460236",
            "telephone_number": "205-467-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 US HIGHWAY 11",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351464063",
            "telephone_number": "205-467-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILEY CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-467-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "U71589",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PR8534884000",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51517445",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005598598",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BENESIGHT",
            "identifier": "0902A",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4410086",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.