NPIMap

Organization Active NPI

Tankersley Chiropractic Clinic Inc.

  • Chiropractor
  • Cullman, AL
National Provider Identifier
1861935983
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2517 Issued in AL
Legal business name
TANKERSLEY CHIROPRACTIC CLINIC INC.
Practice address
2015 Cherokee Ave SW Ste B
Cullman, AL 35055-5524
Phone
(256) 734-7700
Fax
(256) 739-5833
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Dr. Juanita Glenn Adams II, D.C.
Title
President
Phone
(256) 737-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2517 AL Primary

Addresses

Primary practice location

2015 Cherokee Ave SW Ste B
Cullman, AL 35055-5524

Mailing address

2015 Cherokee Ave SW Ste B
Cullman, AL 35055-5524
Phone (256) 734-7700

Other names 1

  • Tankersley Chiropractic P.C. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tankersley Chiro Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2015 Cherokee Ave SW
Ste B
Cullman, AL 35055
Phone (256) 734-7700

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": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1861935983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 CHEROKEE AVE SW STE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555524",
            "telephone_number": "256-734-7700",
            "fax_number": "256-739-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 CHEROKEE AVE SW STE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555524",
            "telephone_number": "256-734-7700",
            "fax_number": "256-739-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANKERSLEY CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-737-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tankersley Chiropractic P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.