Alex City Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1942 Issued in AL

Legal business name

ALEX CITY CHIROPRACTIC LLC

Practice address

239 Church St Ste a
Alexander City, AL 35010-2517

Phone

(256) 234-4404

Fax

(256) 234-4421

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jon Douglas Roberts, DC

Title

Owner

Phone

(256) 234-4404

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1861671075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 CHURCH ST STE A",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350102517",
            "telephone_number": "256-234-4404",
            "fax_number": "256-234-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CHURCH ST STE A",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350102517",
            "telephone_number": "256-234-4404",
            "fax_number": "256-234-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX CITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-234-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Alexander City, AL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.